Individual
BEATRICE LEA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
512 GRAYSON PKWY, GRAYSON, GA 30017-1216
(678) 386-9715
Mailing address
512 GRAYSON PKWY, GRAYSON, GA 30017-1216
(678) 386-9715
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MT005125
GA
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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