Gibbs, Matthew Mackinnon

Gibbs, Matthew Mackinnon is an sole proprietor health care provider with primary practice located at 211 Village Dr , St Simons Is GA 31522. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Gibbs, Matthew Mackinnon can be contacted via phone (912) 580-9811.

Contact Information

Primary practice address
211 Village Dr St Simons Is GA 31522
Phone: (912) 580-9811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1982186342
LBN Legal business name Gibbs, Matthew Mackinnon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2018
Last updated Sep 2nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers