Organization
FRANK GIBASE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE H TOOTLE (OFFICE MANAGER)
(912) 538-5359
Entity
Organization
Contact information
Practice address
1703 MEADOWS LN, VIDALIA, GA 30474-8915
(912) 538-5359
(912) 538-5228
Mailing address
PO BOX 1303, VIDALIA, GA 30475-1303
(912) 538-5359
(912) 538-5228
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
040075
GA
Other
Enumeration date
01/24/2007
Last updated
04/09/2010
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