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General NPI Number Information
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NPI Number | 1669594479
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Entity Type | Individual
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Provider Name | SHEROCKO RIESHELL GATLING-JAMES FNP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 956 KILLIAN HILL RD SW STE B
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City | LILBURN
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State | GA
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Zip | 30047-8977
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Country | US
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Telephone | 770-335-2434
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Fax | 949-862-1987
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Provider Business Mailing Address
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Address Line | 3860 RYANS RUN WAY SW
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City | LILBURN
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State | GA
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Zip | 30047-2232
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Country | US
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Telephone | 770-807-4710
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Fax | 949-862-1987
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN189854
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License Number State | GA
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