Individual provider · Type 1 NPI
Charlona Gibson
Lodging Provider · Douglasville, GA
NPI number
1689463796
Active
Practice location
3575 Anna Ruby Ln
Douglasville, GA 30135-1736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1689463796
Charlona Gibson's National Provider Identifier is 1689463796, issued on May 5, 2025. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Douglasville, GA. The record was last updated on May 5, 2025.