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MRS. KIMBERLEE FLOYD GIBBS CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1538210919

Individual Registrant:
MRS. KIMBERLEE FLOYD GIBBS CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
807 S ISABELLA ST  SYLVESTER, GA 31791-7554 US
Tel: 229-776-6961  Fax: --

Contact information for business:
110 SHAMROCK CIR  SYLVESTER, GA 31791-7234 US
Tel: 229-347-5685  Fax: --

Registration Information:
NPI: 1538210919
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP005167

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000965005EGA05
000965005AGA05




HEALTH CARE JOBS GA - Page 1



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