Gibraltar Biz, Llc, NPI 1013680388
Clinic/Center in Stone Mountain, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1013680388
NPI Entity Type Organization
Provider Name Gibraltar Biz, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5505 E Mountain St, Stone Mountain, GA, US
Provider Mailing Address 5505 E Mountain St, Stone Mountain, GA, US, 300833027
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name RDN Fritha Skinner Dinwiddie
Official Position OWNER
Phone 678-485-3308

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

Gibraltar Biz, Llc
5505 E Mountain St

Stone Mountain, GA, US

Phone: 678-485-3308

Mailing Address

Gibraltar Biz, Llc
5505 E Mountain St
Stone Mountain, GA, US
ZIP 300833027
Phone: 678-485-3308

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
D1103 MS STATE BOARD OF LICENSURE 01
DT85347 TX STATE BOARD OF LICENSURE 01
ND9557 FL STATE BOARD OF LICENSURE 01
677280 COMMISSION ON DIETETIC REGISTRATION, ACADEMY OF NUTRITION AND DIETETICS 01
L003247 NC STATE BOARD OF LICENSURE 01
1093126997 GA MEDICAID 05
893 AL STATE BOARD OF LICENSURE 01
2273 KS STATE BOARD OF LICENSURE 01
878 GA STATE BOARD OF LICENSURE 01
LDN2393 TN STATE BOARD OF LICENSURE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT [email protected] email OTHER CSV No 5505 E Mountain St, Stone Mountain, GA, US

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