Individual
MRS. SANTORIA GIBBS HAMBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1355 WHISPERWOOD CT, MONTGOMERY, AL 36117-3227
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
000000000000
GA
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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