SARA GIBSON
NPI 1679007835
Specialist in Decatur, GA
- 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
- Code Navigator
Location Map
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.