Most Relevant Information
Provider Data
| NPI Number: | 1003003211 |
| Provider Name: | ANTOINETTE DENISE GAMBLE N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN186234 |
Most Important Dates
| Enumeration Date: | 10/02/2007 |
| Last Updated: | 10/02/2007 |
Provider Practice Location
1670 CLAIRMONT RD.
DECATUR
GA
300334098
Practice Location Phone/Fax
| Phone: | 4043216111 |
| Fax: |
Provider Mailing Location
3156 MOUNT ZION RD APT 504
STOCKBRIDGE
GA
302814182
Provider Mailing Phone/Fax
| Phone: | 9012191303 |
| Fax: |