Individual
GISELE YOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
550 PEACHTREE ST. NE, STE 1960, ATLANTA, GA 30308-2225
(045) 891-3304
(404) 589-1387
Mailing address
PO BOX 108, DALLAS, GA 30132-0003
(678) 426-2171
(615) 269-3087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001522
GA
Other
Enumeration date
03/20/2019
Last updated
04/17/2023
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