Individual
CATHY DEE GIOMBLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3703 SOUTHLAND DR, BUFORD, GA 30519-7096
(954) 393-4219
Mailing address
3703 SOUTHLAND DR, BUFORD, GA 30519-7096
(954) 393-4219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11006894
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
110411
WV
363LP2300X
Primary Care Nurse Practitioner
294046
GA
Other
Enumeration date
04/22/2020
Last updated
09/01/2021
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