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Individual

AL-ROSE GILLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAA

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(678) 514-1991
(678) 514-1992
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003157
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002177A
GA
Enumeration date
05/27/2006
Last updated
02/20/2013
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