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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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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