Individual
TIFFANY ANN GIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 PARKWAY DR NE, BOX 442, ATLANTA, GA 30312-1212
(678) 642-5615
Mailing address
6262 VETERANS PKWY, BOX 442, COLUMBUS, GA 31909-3540
(706) 324-6661
(706) 327-6701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5577
GA
Other
Enumeration date
05/19/2009
Last updated
07/02/2020
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