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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICOLE A GURBAL, O.D.

Active

DR. NICOLE A GURBAL, O.D. is a Pediatric Optometrist healthcare provider located in CARROLLTON, Georgia. NPI 1588659692 is currently active in the NPPES registry. Verify at CMS.

Pediatric Optometrist · CARROLLTON, GA

Registration Details

NPI Number
1588659692
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2005 (20.904020884038 yrs)
Last Updated
Oct 4, 2007
Licenses
OPT002230 (GA)
OPT002230 (GA)

Practice Information

Address
619 DIXIE ST
CARROLLTON, GA, 301173816
Browse GA providers · Browse ZIP 30117
Phone
7708340212
Fax
7708340213
Primary Specialty
Pediatric Optometrist
152WP0200X
Additional Specialty
Pediatric Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.