Gibbs, Marti Renee
Gibbs, Marti Renee is an individual health care provider with primary practice located at 4222 Fairbanks Dr , Oakwood GA 30566-2811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gibbs, Marti Renee can be contacted via phone (770) 534-6053.Contact Information
Primary practice address
4222 Fairbanks Dr
Oakwood GA 30566-2811
Phone: (770) 534-6053
Fax: (770) 534-6695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 049294 | Georgia |
Profile Details
| NPI number | 1083694905 |
|---|---|
| LBN Legal business name | Gibbs, Marti Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 18th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083694905 | NPPES |
| Georgia | Other | 10045228 | AMERIGROUP |
| Georgia | Other | 336006 | AMERIGROUP |
| Georgia | MEDICAID | 000909015A | AMERIGROUP |
| Georgia | Other | 52862399 | AMERIGROUP |
| Georgia | Other | 80177932 | AMERIGROUP |
| Georgia | Other | 6794635 | AMERIGROUP |
| Georgia | Other | 0100985 | AMERIGROUP |
| Georgia | Other | 7809239 | AMERIGROUP |
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