Healthcare Provider Details

I. General information

NPI: 1053174136
Provider Name (Legal Business Name): EUGENE B. GABIANELLI, MD & ASSOC. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 PLEASANT HILL RD STE 3
DULUTH GA
30096-1428
US

IV. Provider business mailing address

500 ROSS ST # 154-0455 ATTN: BOX 223958
PITTSBURGH PA
15262-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-897-6810
  • Fax: 404-897-4924
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: CANDICE B DAVIS
Title or Position: CHIEF REVENUE CYCLE OFFICER
Credential:
Phone: 916-990-7590