Organization
GIBSON WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANIE A GIBSON NURSE PRACTITIONER (OWNER)
(229) 985-0208
Entity
Organization
Contact information
Practice address
143 US HWY 319 S, MOULTRIE, GA 31768, MOULTRIE, GA 3176, UNIT 12, MOULTRIE, GA 31768
(229) 985-0208
Mailing address
143 US HWY 319 S, MOULTRIE, GA 31768, MOULTRIE, GA 3176, UNIT 12, MOULTRIE, GA 31768
(229) 985-0208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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