Individual
ROBERT MICHAEL GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1500
Mailing address
768 WEEPING WILLOW DR, ATHENS, GA 30605-7075
(770) 356-7340
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN248111
GA
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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