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Contact Information

PATRICIA GIBSON
59 TIFFANY TRACE
PALMETTO, GA30268
 Phone: 678-541-7539
 Fax: 678-692-6562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PATRICIA GIBSON · (Female)

NPI Number 1407509524
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2022
Last updated 01/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # CN0028836335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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