NPI 1447495536

Beatrice Lea Gibson, MT

Practitioner Reflexologist Grayson, GA

Practice location

Address: 512 Grayson Pkwy, Grayson, GA 30017-1216
Phone: (678) 386-9715

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence MT005125 (GA)

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Registry record

NPI: 1447495536
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2008
Record last updated: 3 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.