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General NPI Number Information
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NPI Number | 1194469205
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Entity Type | Organization
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Legal Business Name | GMB HEALTHCARE AND EDUCATIONAL SERVICES, LLC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 696 MOUNT ZION RD STE B5
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City | JONESBORO
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State | GA
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Zip | 30236-1582
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Country | US
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Telephone | 404-800-5581
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Fax | 470-639-0133
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Provider Business Mailing Address
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Address Line | 106 ROCK QUARRY RD
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-3768
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Country | US
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Telephone | 404-808-5153
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Fax | 470-639-0133
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | BRANDI MELISSA PINCKNEY-GREENE
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Credential | FNP-BC
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Telephone | 404-800-5581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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