Provider Demographics
NPI:1760654727
Name:MCCOMB, GAIL MARIE (RN)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:MARIE
Last Name:MCCOMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4951 POST BOY ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832
Mailing Address - Country:US
Mailing Address - Phone:740-498-5302
Mailing Address - Fax:740-492-1898
Practice Address - Street 1:4951 POST BOY DR
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-8912
Practice Address - Country:US
Practice Address - Phone:740-498-5302
Practice Address - Fax:740-492-1898
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 127482163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse