institution
Gibraltar Biz, Llc
Clinic/Center in Stone Mountain, Georgia
NPI 1013680388

Gibraltar Biz, Llc is a Clinic/Center based in Stone Mountain, GA. Gibraltar Biz, Llc practices in Stone Mountain, GA. The NPI Number for Gibraltar Biz, Llc is 1013680388 and holds a License No. (Georgia).

The current practice location address for Gibraltar Biz, Llc is 5505 E Mountain St, Stone Mountain, GA and can be reached out via phone at 678-485-3308.

Location: 5505 E Mountain St, Stone Mountain, GA, 30083-3027
institution
Provider Profile Details
NPI Number
1013680388
Provider Name
Gibraltar Biz, Llc
Credential
Provider Entity Type
Organization
Address
5505 E Mountain St, Stone Mountain, GA, 30083-3027
Phone Number
678-485-3308
Fax Number
Provider Enumeration Date
07/31/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D1103 01 MS STATE BOARD OF LICENSURE
DT85347 01 TX STATE BOARD OF LICENSURE
ND9557 01 FL STATE BOARD OF LICENSURE
677280 01 COMMISSION ON DIETETIC REGISTRATION, ACADEMY OF NUTRITION AND DIETETICS
L003247 01 NC STATE BOARD OF LICENSURE
1093126997 05 GA
893 01 AL STATE BOARD OF LICENSURE
2273 01 KS STATE BOARD OF LICENSURE
878 01 GA STATE BOARD OF LICENSURE
LDN2393 01 TN STATE BOARD OF LICENSURE
institution
Provider Business Practice Location Address Details
Address
5505 E Mountain St
City
State
Zip
30083-3027
Phone Number
678-485-3308
Fax Number
person
Provider Business Mailing Address Details
Address
5505 E Mountain St
City
State
Zip
30083-3027
Phone Number
678-485-3308
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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