Individual
DEBRA E GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
523 CRYSTAL CREEK WEST, MARTINEZ, GA 30907
(864) 314-4339
Mailing address
523 CRYSTAL CREEK WEST, MARTINEZ, GA 30907
(864) 314-4339
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3739
SC
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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