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Corey Dwayne Gibbs
Adult Day Care Clinic/Center in Conyers, Georgia
NPI 1215654900

Corey Dwayne Gibbs is an Adult Day Care Clinic/Center based in Conyers, GA and is specialized in Adult Day Care. Corey Dwayne Gibbs practices in Conyers, GA. The NPI Number for Corey Dwayne Gibbs is 1215654900 and holds a License No. (Georgia).

The current practice location address for Corey Dwayne Gibbs is 1040 Plantation Blvd Se, Conyers, GA and can be reached out via phone at 404-717-7631.

Location: 1040 Plantation Blvd Se, Conyers, GA, 30094-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215654900
Provider Name
Corey Dwayne Gibbs
Credential
Provider Entity Type
Individual
Gender
Male
Address
1040 Plantation Blvd Se, Conyers, GA, 30094-4119
Phone Number
404-717-7631
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1040 Plantation Blvd Se
City
Conyers
State
Georgia
Zip
30094-4119
Phone Number
404-717-7631
Fax Number
person
Provider Business Mailing Address Details
Address
1040 Plantation Blvd Se
City
Conyers
State
Georgia
Zip
30094-4119
Phone Number
404-717-7631
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
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