Gaddis, Funlola M
Gaddis, Funlola M is an sole proprietor health care provider with primary practice located at 1365 Rock Quarry Rd Suite 301, Stockbridge GA 30281-5029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gaddis, Funlola M can be contacted via phone (770) 771-6580.Contact Information
Primary practice address
1365 Rock Quarry Rd Suite 301
Stockbridge GA 30281-5029
Phone: (770) 771-6580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN186624 | Georgia |
Profile Details
| NPI number | 1962783639 |
|---|---|
| LBN Legal business name | Gaddis, Funlola M |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2011 |
| Last updated | Sep 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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