Individual
EDITH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DEWDROP CT, JOHNS CREEK, GA 30022-7145
(404) 682-5461
Mailing address
215 DEWDROP CT, JOHNS CREEK, GA 30022-7145
(404) 682-5461
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3530
GA
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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