Provider Demographics
NPI:1629671706
Name:EUGENE B. GABIANELLI, MD & ASSOC. LLC
Entity Type:Organization
Organization Name:EUGENE B. GABIANELLI, MD & ASSOC. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:B
Authorized Official - Last Name:GABIANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-897-6810
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2248
Mailing Address - Country:US
Mailing Address - Phone:404-897-6810
Mailing Address - Fax:404-897-4924
Practice Address - Street 1:130 VANN ST NE STE 230
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7230
Practice Address - Country:US
Practice Address - Phone:770-425-1341
Practice Address - Fax:770-428-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies