Individual
GABRIELA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72408
GA
Other
Enumeration date
06/29/2012
Last updated
07/06/2015
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