Individual
ANTOINETTE DENISE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1670 CLAIRMONT RD., DECATUR, GA 30033-4098
(404) 321-6111
Mailing address
3156 MOUNT ZION RD APT 504, STOCKBRIDGE, GA 30281-4182
(901) 219-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN186234
GA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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