NPI 1689463796

Charlona Gibson

Practitioner Lodging Provider Douglasville, GA

Practice location

Address: 3575 Anna Ruby Ln, Douglasville, GA 30135-1736
Phone: (470) 388-5377

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Georgia →

Registry record

NPI: 1689463796
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2025
Record last updated: 5 May 2025

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.