Gamba, Rafael Antonio
Gamba, Rafael Antonio is an individual health care provider with primary practice located at 112A Riverstone Pkwy , Canton GA 30114-2448. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gamba, Rafael Antonio can be contacted via phone (770) 874-2020.Contact Information
Primary practice address
112A Riverstone Pkwy
Canton GA 30114-2448
Phone: (770) 874-2020
Fax: (470) 785-2795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT003130 | Georgia |
Profile Details
| NPI number | 1629546437 |
|---|---|
| LBN Legal business name | Gamba, Rafael Antonio |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2018 |
| Last updated | Sep 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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