MEDICARE: GABRIELLE DAYS BIRTH DOULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1467095901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE DAYS BIRTH DOULA

Provider Business Mailing Address
First Line	:	1783 WILLIS MILL RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3817
Country	:	US
Telephone Number	:	609-425-9987
Fax Number	:

Provider Business Practice Location Address
First Line	:	1783 WILLIS MILL RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3817
Country	:	US
Telephone Number	:	609-425-9987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2019
Last Update Date	:	10/28/2019

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Directions to “ GABRIELLE DAYS BIRTH DOULA” Practice Location

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