Individual
MS. MARJORIE RENAE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
940 GA HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1222
Mailing address
940 GA HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
088182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085182
RN LICENSE
GA
Enumeration date
01/16/2018
Last updated
01/16/2018
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