Individual
SARA LYNN GAMBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, APRN
Contact information
Practice address
350 WINN WAY, DECATUR, GA 30030-2106
(813) 451-4372
Mailing address
350 WINN WAY, DECATUR, GA 30030-2106
(813) 451-4372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN261798
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP261798
GA
Other
Enumeration date
04/05/2021
Last updated
11/06/2025
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