Individual
PATRICIA A GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
411 W PONCE DE LEON AVE, DECATUR, GA 30030-2444
(404) 378-4686
(404) 378-2227
Mailing address
411 W PONCE DE LEON AVE, DECATUR, GA 30030-2444
(404) 378-4686
(404) 378-2227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO02513
GA
Other
Enumeration date
11/07/2006
Last updated
09/21/2023
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