Individual
DR. GABRIELLE MARIE DE ALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 KY ROUTE 321 STE 3141, PRESTONSBURG, KY 41653-9113
(606) 886-8511
(606) 886-1316
Mailing address
2771 FARMSTEAD CT, GRAYSON, GA 30017-1511
(347) 295-8770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
88990
GA
207R00000X
Internal Medicine Physician
Primary
TP707
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100816250
—
KY
Enumeration date
03/22/2018
Last updated
06/06/2022
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