Individual
ANDREA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2151 EATONTON RD STE H2, MADISON, GA 30650-5086
(706) 438-1222
(706) 438-1234
Mailing address
PO BOX 492, MADISON, GA 30650-0492
(706) 438-1222
(706) 438-1234
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN206896
GA
Other
Enumeration date
04/11/2017
Last updated
04/13/2023
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