Individual
CARMEN I GAYBORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1456 SHERIDAN PT, HINESVILLE, GA 31313-9198
(912) 980-6421
Mailing address
1456 SHERIDAN PT, HINESVILLE, GA 31313-9198
(912) 980-6421
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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