Sonja Renee Gibson
Massage Therapist
275 Glynn St S
Fayetteville
, Georgia 30214-2015
Sonja Renee Gibson
Massage Therapist
275 Glynn St S
Fayetteville
, Georgia 30214-2015
(470) 278-5175
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Sonja Renee Gibson
- 275 Glynn St S
- Fayetteville, GA
- Zip : 30214-2015
- Phone : (470) 278-5175
Second Address
- Sonja Renee Gibson
- 275 Glynn St S
- Fayetteville, GA
- Zip : 30214-2015
- Phone : (470) 278-5175
Reviews
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What type of doctor is Sonja Renee Gibson
In what state does Sonja Renee Gibson practice in?
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Is Sonja Renee Gibson a sole practitioner?
Is Sonja Renee Gibson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 00008687 | GA |
National Provider Identifier
| NPI | 1013529957 |
|---|---|
| Provider Name | Sonja Renee Gibson |
| First Address | Fayetteville, GA 30214-2015 |
| Second Address | Fayetteville, GA 30214-2015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2020 |
| Last Update Date | 21/08/2020 |
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.