IndividualActive
Corey Gibbs
NPI 1215654900 · Adult Day Care Clinic/Center · Conyers, GA
Provider details
- NPI number
- 1215654900
- Entity type
- Individual
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1040 Plantation Blvd Se
Conyers, GA 30094-4119
Phone: (404) 717-7631
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Plantation Blvd Se
Conyers, GA 30094-4119
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2022-10-24
- Certified
- 2022-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.