Individual
TERESA ANN GIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
2855 OLD HIGHWAY 5 STE 111, BLUE RIDGE, GA 30513-6239
(706) 632-4215
(706) 946-4251
Mailing address
2855 OLD HIGHWAY 5 STE 111, BLUE RIDGE, GA 30513-6239
(706) 632-4215
(706) 946-4251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
090478
NC
Other
Enumeration date
12/01/2021
Last updated
01/16/2025
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