Gibson, James

Gibson, James is an individual health care provider with primary practice located at 892 Prince Ave Suite C, Athens GA 30606-2724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Gibson, James can be contacted via phone (706) 227-2027.

Contact Information

Primary practice address
892 Prince Ave Suite C Athens GA 30606-2724
Phone: (706) 227-2027
Fax: (706) 227-2433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN123486 Georgia

Profile Details

NPI number 1144200411
LBN Legal business name Gibson, James
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 12th, 2015 - about 11 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 1144200411 NPPES
Georgia MEDICAID 000925922E

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