Individual provider · Type 1 NPI
Augustina Dora Gibson
Driver · Atlanta, GA
NPI number
1356806129
Active
Practice location
5155 Scofield Rd
Atlanta, GA 30349-3301
Fax (404) 559-8804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1356806129
Augustina Dora Gibson's National Provider Identifier is 1356806129, issued on Feb 6, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 3, 2022.