Individual
GABRIELLA ELIESE MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CORPORATE CENTER DR, SUITE 200, MORROW, GA 30260-4180
(770) 968-6464
(770) 968-6455
Mailing address
1000 CORPORATE CENTER DR, SUITE 200, MORROW, GA 30260-4180
(770) 968-6464
(770) 968-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
073819
GA
207Q00000X
Family Medicine Physician
MD451019
PA
Other
Enumeration date
06/14/2011
Last updated
10/29/2019
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