Individual
GABRIELLA SENTELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 NIGHT FIRE DR, DAWSONVILLE, GA 30534-0717
(770) 856-6867
Mailing address
425 NIGHT FIRE DR, DAWSONVILLE, GA 30534-0717
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
218671
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3356
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962082057
—
GA
Enumeration date
04/12/2021
Last updated
10/20/2021
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