Individual
STACEY GILBREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 BICENTENNIAL TRL, ROCK SPRING, GA 30739-2314
(423) 991-0034
Mailing address
1116 BICENTENNIAL TRL, ROCK SPRING, GA 30739-2314
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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