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1508221888
RICHARD GIBSON
FORT STEWART, GA
NPI
1508221888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2015-12-30
Last Update Date
2024-01-14
Business Address
RICHARD GIBSON PA-C
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
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Mailing Address
RICHARD GIBSON PA-C
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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