Individual
NORMA ELLEN GADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 JOE FRANK HARRIS PKWY SE, SUITE 220, CARTERSVILLE, GA 30120-2159
(770) 607-8111
(770) 607-4111
Mailing address
970 JOE FRANK HARRIS PKWY SE STE 220, CARTERSVILLE, GA 30120-2161
(770) 607-8111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042248
GA
207VG0400X
Gynecology Physician
042248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00723445A
—
GA
Enumeration date
10/05/2007
Last updated
10/05/2007
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