Individual
KAMLA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5146 MILLER WOODS TRL, DECATUR, GA 30035
(347) 528-4006
Mailing address
5146 MILLER WOODS TRL, DECATUR, GA 30035-3746
(347) 528-4006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
113293-23
NH
363LA2100X
Acute Care Nurse Practitioner
249592
GA
363LA2100X
Acute Care Nurse Practitioner
RN249592
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
249592
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN249592
GA
Other
Enumeration date
04/26/2018
Last updated
04/23/2026
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