FRANK GIBASE MD PC
Osteopathic Medicine at Meadows Ln, Vidalia, GA

License number
Georgia 040075
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JUNE H TOOTLE
Title: OFFICE MANAGER
Phone: (912) 538-5359
Address
Address
1703 Meadows Ln, Vidalia, GA 30474
National Provider ID: 1962557454
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FRANK GIBASE, M.D., PC

PO Box 1303, Vidalia, GA 30475

Registration:
Nov 10, 2004
State ID:
0467167
Business type:
Domestic Professional Corporation
Secretary:
Frank M.d., Gibase (Secretary), 504 Maple Dr, Vidalia, GA 30475 (Physical)
Agent:
Frank Gibase,504 Maple Dr SUITE C VIDALIA GA, Vidalia, GA 30474 (Physical)

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