Individual provider · Type 1 NPI
Matthew Mackinnon Gibbs
Student in an Organized Health Care Education/Training Program · St. Simons Island, GA
NPI number
1982186342
Active
Practice location
211 Village Dr
St. Simons Island, GA 31522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in St. Simons Island
About NPI 1982186342
Matthew Mackinnon Gibbs's National Provider Identifier is 1982186342, issued on Sep 2, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Simons Island, GA. The record was last updated on Sep 2, 2018.