Individual
JANAI LASHANA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1279 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214-4551
(770) 719-5710
Mailing address
1279 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214-4551
(770) 719-5710
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7456
GA
Other
Enumeration date
02/21/2008
Last updated
04/14/2025
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