ERNEST LEONARD GIBSON

DECATUR, GA
NPI1023766862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN207432)
Enumeration Date2022-03-11
Last Update Date2022-03-11
Business Address
ERNEST LEONARD GIBSON
2561 CAPTAINS ROW
DECATUR, GA 30035-3062
Phone number: 404-839-2886
Mailing Address
ERNEST LEONARD GIBSON
2561 CAPTAINS ROW
DECATUR, GA 30035-3062
Phone number: 404-839-2886
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