Individual
MR. STEPHEN L GILBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 HOSPITAL CIRCLE, DONALSONVILLE, GA 39845
(229) 524-5217
(229) 524-8114
Mailing address
102 HOSPITAL CIRCLE, DONALSONVILLE, GA 39845
(229) 524-5217
(229) 524-8114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34522
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00495118K
—
GA
01
—
010060250
MEDICARE RR
—
Enumeration date
04/20/2006
Last updated
08/19/2010
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