Individual
KATHRINE A GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
813 N IRWIN AVE, OCILLA, GA 31774-3757
(229) 468-7323
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 468-7323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46104
GA
Other
Enumeration date
05/31/2005
Last updated
06/18/2015
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