Individual
MRS. NAYONDA TEEMER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
247 MAYFIELD DR, LEESBURG, GA 31763-4970
(229) 669-1744
Mailing address
247 MAYFIELD DR, LEESBURG, GA 31763-4970
(229) 669-1744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001729
GA
Other
Enumeration date
10/02/2017
Last updated
06/24/2021
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