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
Phone: (770) 834-0212
Fax: (770) 834-0213
Website:
Health care specialties
Specialty | Code | License # | 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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