Gibson, Candice

Gibson, Candice is an individual health care provider with primary practice located at 857 Collier Rd Nw Ste 1 , Atlanta GA 30318-2544. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gibson, Candice can be contacted via phone (404) 419-7760.

Contact Information

Primary practice address
857 Collier Rd Nw Ste 1 Atlanta GA 30318-2544
Phone: (404) 419-7760
Fax: (404) 351-3977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA002025 Georgia

Profile Details

NPI number 1932288602
LBN Legal business name Gibson, Candice
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 16th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932288602 NPPES
Georgia Other PTA002025 STATE LISC NUMBER

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