SARA GIBSON
NPI 1679007835
Specialist in Decatur, GA

Active since April 14, 2017
3260 WAKEFIELD DR, DECATUR, GA 30034(470) 207-5704 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About SARA GIBSON

This page provides the complete NPI Profile along with additional information for Sara Gibson, a provider established in Decatur, Georgia with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1679007835 assigned on April 2017. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1679007835 Verify this NPI
Provider Name
SARA GIBSON
Gender
Female
Entity Type
Individual
Location Address
3260 WAKEFIELD DR DECATUR, GA 30034
Location Phone
(470) 207-5704
Mailing Address
3260 WAKEFIELD DR DECATUR, GA 30034
Mailing Phone
(470) 207-5704
Is Sole Proprietor?
Yes
Enumeration Date
04-14-2017
Last Update Date
04-14-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679007835, enumerated as an "individual" on April 14, 2017.

The provider is located at 3260 WAKEFIELD DR DECATUR, GA 30034 and the phone number is (470) 207-5704.

Specialist with taxonomy code 174400000X.