Individual
WANDA L. ROGLER GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5780 PEACHTREE DUNWOODY RD, SUITE 200, ATLANTA, GA 30342-1554
(770) 255-8022
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN069862
GA
Other
Enumeration date
10/06/2008
Last updated
01/10/2022
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