Individual
MRS. PATRICIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 TIFFANY TRACE, PALMETTO, GA 30268
(678) 541-7539
(678) 692-6562
Mailing address
90F GLENDA TRCE # 190, NEWNAN, GA 30265-3858
(678) 541-7538
(678) 692-6562
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CN0028836335
GA
Other
Enumeration date
01/28/2022
Last updated
01/29/2022
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