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Individual

MS. EMILY A GANTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
675 PONCE DE LEON AVE NE, ATLANTA, GA 30308-1884
(770) 827-1349

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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