Individual provider · NPI-1

Gail Marie Gregorio Adjanasuknart

Nurse Practitioner, Family · Marietta, GA

NPI number1437664497

StatusActive

Last updated in NPPESSep 3, 2024

Details

NPI: 1437664497
Entity type: Individual (NPI-1)
Name: Ms. Gail Marie Gregorio Adjanasuknart
Sex: Female
Sole proprietor: Yes
Enumeration date: Dec 12, 2017
Certification date: Sep 3, 2024
Last updated: Sep 3, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	RN212246	GA	Yes
163W00000X	Registered Nurse	RN212246	GA

Practice location

780 Canton Rd Ne Ste 200
Marietta, GA 30060-7242

Phone 404-260-5151

Mailing address

750 Echo St Nw Apt 1635
Atlanta, GA 30318-6757

Phone 404-697-5529

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