Individual
GAYLE E ANTONIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROBERTS RD, SUWANEE, GA 30024-2335
(917) 566-1206
Mailing address
100 ROBERTS RD, SUWANEE, GA 30024-2335
(917) 566-1206
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/21/2024
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