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NPI Code Detail

MEDICARE: MRS. KIMBERLEE FLOYD GIBBS CCC-SLP

MEDICARE:  MRS. KIMBERLEE FLOYD GIBBS  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP005167GA

Other Identifiers

General Provider Information

NPI Number : 1538210919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLEE FLOYD GIBBS CCC-SLP
Provider Business Mailing Address
First Line : 110 SHAMROCK CIR
Second Line :
City : SYLVESTER
State : GA
Zip : 31791-7234
Country : US
Telephone Number : 229-347-5685
Fax Number :
Provider Business Practice Location Address
First Line : 807 S ISABELLA ST
Second Line :
City : SYLVESTER
State : GA
Zip : 31791-7554
Country : US
Telephone Number : 229-776-6961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2007
Last Update Date : 04/22/2021

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Directions to “ MRS. KIMBERLEE FLOYD GIBBS CCC-SLP” Practice Location

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