COREY DWAYNE GIBBS

CONYERS, GA
NPI1215654900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2022-10-24
Last Update Date2022-10-24
Business Address
COREY DWAYNE GIBBS
1040 PLANTATION BLVD SE
CONYERS, GA 30094-4119
Phone number: 404-717-7631
Mailing Address
COREY DWAYNE GIBBS
1040 PLANTATION BLVD SE
CONYERS, GA 30094-4119
Phone number: 404-717-7631