Individual
DR. ANN L CONTRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501-3806
(770) 219-9445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
044903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00778324A
—
GA
Enumeration date
07/07/2006
Last updated
01/18/2024
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