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:
Health care specialties
Specialty | Code | License # | 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 10 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 | 1144200411 | NPPES |
Georgia | MEDICAID | 000925922E |
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