Individual
MEDEAH GRACE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
868 SAYBROOK CIR NW, LILBURN, GA 30047-2652
(913) 284-2419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-145158-052
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
RN327754
GA
Other
Enumeration date
02/01/2024
Last updated
03/01/2024
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