Ms Julliette Finda Gbanga, | |
80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | |
(404) 984-0514 | |
Not Available |
Full Name | Ms Julliette Finda Gbanga |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356062095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN192427 (Georgia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN192427 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
---|---|
Ms Julliette Finda Gbanga, 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: () - | Ms Julliette Finda Gbanga, 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 984-0514 |
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Ashley Rae Gore, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309 Phone: 404-605-2800 Fax: 404-351-5983 | |
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