Individual
GINA Z D'AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 JOHNSON FERRY RD NE, SUITE 600, ATLANTA, GA 30342-1709
(404) 256-4777
(404) 256-5515
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(678) 288-9555
(678) 288-9556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME86790
FL
207RH0003X
Hematology & Oncology Physician
Primary
060446
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269968100
—
FL
01
—
46013
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/05/2006
Last updated
03/06/2014
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