Samuel Gibson, PA

NPI #1134429806 in Hapeville, Georgia

Provider Information

NPI Number: 1134429806
Entity Type: Individual
Name: Samuel Gibson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 28, 2010
Last Updated: Oct 28, 2010

Practice Location

Address: 791 OAK ST
City: Hapeville
State: Georgia
ZIP Code: 30354-1748
Phone: (404) 601-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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