Individual
GEMMA PORSUELO-BANGSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6318
Mailing address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(770) 931-6318
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
RN333925
GA
Other
Enumeration date
07/18/2006
Last updated
03/14/2025
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