Individual
GINA TOULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 EXECUTIVE PARK S, ATLANTA, GA 30329-2208
(404) 778-3350
Mailing address
5521 STONE CUTTER DR, STONECREST, GA 30038-1254
(631) 278-1819
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN241097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00186619
AGENCY
NY
Enumeration date
07/28/2012
Last updated
12/13/2019
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