Gurbal, Nicole A

Gurbal, Nicole A is an individual health care provider with primary practice located at 619 Dixie St , Carrollton GA 30117-3816. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Pediatrics is her primary health care specialty. Gurbal, Nicole A can be contacted via phone (770) 834-0212.

Contact Information

Primary practice address
619 Dixie St Carrollton GA 30117-3816
Fax: (770) 834-0213
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002230 Georgia
Eye and Vision Services Providers / Pediatrics 152WP0200X OPT002230 Georgia

Profile Details

NPI number 1588659692
LBN Legal business name Gurbal, Nicole A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 4th, 2007 - about 18 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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