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Individual

MS. GAIL MARIE GREGORIO ADJANASUKNART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
780 CANTON RD NE STE 200, MARIETTA, GA 30060-7242
(404) 260-5151
Mailing address
750 ECHO ST NW APT 1635, ATLANTA, GA 30318-6757
(404) 697-5529

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN212246
GA
363LF0000X
Family Nurse Practitioner
Primary
RN212246
GA

Other

Enumeration date
12/12/2017
Last updated
09/03/2024
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