Bola Gabriel

NPI #1376079731 in Antioch, Tennessee

Provider Information

NPI Number: 1376079731
Entity Type: Individual
Name: Bola Gabriel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 4, 2017
Last Updated: May 4, 2017

Practice Location

Address: 5100 BROOKSTONE CT
City: Antioch
State: Tennessee
ZIP Code: 37013-5687
Phone: (615) 569-4067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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