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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

Request for update

Popular Providers