Individual
GILBERT SUMANG PATNUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
105 REGENCY PARK DR, MCDONOUGH, GA 30253-6649
(770) 305-7555
(770) 914-4178
Mailing address
105 REGENCY PARK DR, MCDONOUGH, GA 30253-6649
(770) 305-7555
(770) 914-4178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000741
GA
Other
Enumeration date
02/09/2007
Last updated
01/02/2008
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