Individual provider · Type 1 NPI

Corey Dwayne Gibbs

Adult Day Care Clinic/Center · Conyers, GA

NPI number 1215654900 Active

Practice location

1040 Plantation Blvd SE
Conyers, GA 30094-4119

Call (404) 717-7631 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

About NPI 1215654900

Corey Dwayne Gibbs's National Provider Identifier is 1215654900, issued on Oct 24, 2022. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Conyers, GA. The record was last updated on Oct 24, 2022.