Individual
MARY GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 CLEBOURNE STREET, CUTHBERT, GA 39840
(229) 732-3981
Mailing address
212 KAIGLER RD, GEORGETOWN, GA 39854-4840
(229) 732-3981
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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