Individual
MISS SHINEY T GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NA2
Contact information
Practice address
303 HIGH ST N, CARTHAGE, TN 37030-1429
(615) 735-0242
Mailing address
303 HIGH ST N, CARTHAGE, TN 37030-1429
(615) 735-0242
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TN
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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