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General NPI Number Information
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NPI Number | 1316105166
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Entity Type | Organization
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Legal Business Name | CAMILO AND ELIZABETH GABIANA MDS
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 700 CENTER ST 201 PROFESSIONAL TOWER
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City | COLUMBUS
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State | GA
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Zip | 31901-1546
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Country | US
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Telephone | 706-323-4747
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Fax | 706-660-0676
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Provider Business Mailing Address
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Address Line | 700 CENTER ST 201 PROFESSIONAL TOWER
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City | COLUMBUS
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State | GA
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Zip | 31901-1546
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Country | US
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Telephone | 706-323-4747
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Fax | 706-660-0676
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. ELIZABETH V GABIANA
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Credential | MD
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Telephone | 706-323-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 29645
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License Number State | GA
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