| Gibson Chiropractic Clinic, Pc | |
|
411 W Ponce De Leon Ave, Decatur, GA 30030-2444 | |
| (404) 378-4686 | |
| Not Available |
| Full Name | Gibson Chiropractic Clinic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 411 W Ponce De Leon Ave, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396189544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIROC2513 (Georgia) | Primary |
| Provider Name | Patricia A Gibson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528137213 PECOS PAC ID: 1759528086 Enrollment ID: I20130506000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Chiropractic Clinic, Pc 411 W Ponce De Leon Ave, Decatur, GA 30030-2444 Ph: (404) 378-4686 | Gibson Chiropractic Clinic, Pc 411 W Ponce De Leon Ave, Decatur, GA 30030-2444 Ph: (404) 378-4686 |
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