Individual
MONICA DENICE GAVALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1368
(404) 756-1313
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1368
(404) 756-1313
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
81054
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
07/19/2019
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