Individual
MRS. GABRIELLE A BILLING BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
550 PEACHTREE ST NE FL 3, ATLANTA, GA 30308-2212
(404) 686-7858
Mailing address
1468 BRIARWOOD RD NE UNIT 909, BROOKHAVEN, GA 30319-5740
(770) 310-0666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN213805
GA
363L00000X
Nurse Practitioner
Primary
RN213805
GA
Other
Enumeration date
01/15/2020
Last updated
03/31/2020
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