Individual
RYAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
(770) 793-5186
Mailing address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
93191
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
08/07/2025
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