Gibson, Jacqueline Corinne
Gibson, Jacqueline Corinne is an sole proprietor health care provider with primary practice located at 4159 Wheeler Rd Ste A , Martinez GA 30907-7751. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Gibson, Jacqueline Corinne can be contacted via phone (706) 284-2077.Contact Information
Primary practice address
4159 Wheeler Rd Ste A
Martinez GA 30907-7751
Phone: (706) 284-2077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | N23101917 | Georgia |
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | GA-11412-75795 | Georgia |
Profile Details
| NPI number | 1770273112 |
|---|---|
| LBN Legal business name | Gibson, Jacqueline Corinne |
| Credentials | CMA-CPT-GANOTARY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2023 |
| Last updated | May 9th, 2023 - about 3 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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