Individual
DEBRA ANNE GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN147806
GA
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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