Individual
GREGORY KIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
993 JOHNSON FERRY RD.NE, BUILDING F, SUITE 210, ATLANTA, GA 30342
(404) 256-1727
(404) 256-0192
Mailing address
993 JOHNSON FERRY RD.NE, BUILDING F, SUITE 210, ATLANTA, GA 30342
(404) 256-1727
(404) 256-0192
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
995
LICENCE #
GA
Enumeration date
03/28/2007
Last updated
07/08/2007
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