Latasha Paulette Gibbs
Prosthetist
4955 Sugarloaf Pkwy Ste F
Lawrenceville
, Georgia 30044-6997
Latasha Paulette Gibbs
Prosthetist
4955 Sugarloaf Pkwy Ste F
Lawrenceville
, Georgia 30044-6997
(770) 539-5662
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Latasha Paulette Gibbs
- 1530 Misty Valley Dr
- Lawrenceville, GA
- Zip : 30045-7033
- Phone : (770) 539-5662
Second Address
- Latasha Paulette Gibbs
- 4955 Sugarloaf Pkwy Ste F
- Lawrenceville, GA
- Zip : 30044-6997
- Phone : (800) 324-2688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1235797051 |
|---|---|
| Provider Name | Latasha Paulette Gibbs |
| First Address | Lawrenceville, GA 30045-7033 |
| Second Address | Lawrenceville, GA 30044-6997 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.