Individual
DR. JUSTIN BRUCE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11 CHARLEY HARPER DR STE 140, CARTERSVILLE, GA 30120-0027
(912) 614-1795
Mailing address
119 BELLS FERRY RD NE, WHITE, GA 30184-2852
(912) 614-1795
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010435
GA
111N00000X
Chiropractor
CHIRO10435
GA
Other
Enumeration date
10/15/2020
Last updated
10/16/2020
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