Holmes, Avis Gibson
Holmes, Avis Gibson is an sole proprietor health care provider with primary practice located at 4489 Bronte Ln , Douglasville GA 30135-4972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Holmes, Avis Gibson can be contacted via phone (478) 714-6477.Contact Information
Primary practice address
4489 Bronte Ln
Douglasville GA 30135-4972
Phone: (478) 714-6477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN259419 | Georgia |
Profile Details
| NPI number | 1861257149 |
|---|---|
| LBN Legal business name | Holmes, Avis Gibson |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2024 |
| Last updated | Feb 16th, 2024 - about 10 months 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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