Individual
JOHN GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
834 HIGHWAY 11 SW, MONROE, GA 30655-6036
(470) 301-8727
Mailing address
3991 PHYLIS PL, DECATUR, GA 30035-1124
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
206093
GA
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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