Gibbons, Mark C.

Gibbons, Mark C. is an individual health care provider with primary practice located at 1111 Griffin Ave Suite 1A, Eastman GA 31023-9101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gibbons, Mark C. can be contacted via phone (478) 448-4416.

Contact Information

Primary practice address
1111 Griffin Ave Suite 1A Eastman GA 31023-9101
Phone: (478) 448-4416
Fax: (478) 448-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 054569 Georgia
Allopathic & Osteopathic Physicians / Urology 208800000X 2008-01266 North Carolina

Profile Details

NPI number 1346249257
LBN Legal business name Gibbons, Mark C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 14th, 2011 - about 13 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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