Individual
ANNA REBECCA GDOVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(678) 392-8791
Mailing address
2065 HARVEST RIDGE CIR, BUFORD, GA 30519-7358
(678) 392-8791
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN287577
GA
164W00000X
Licensed Practical Nurse
LPN091558
GA
Other
Enumeration date
08/06/2018
Last updated
10/06/2020
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