Provider Demographics
NPI:1154521847
Name:GAMBA, ROSALIND B (NMD)
Entity type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:B
Last Name:GAMBA
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 SWEET APPLE CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6658
Mailing Address - Country:US
Mailing Address - Phone:770-355-8352
Mailing Address - Fax:
Practice Address - Street 1:500 SUN VALLEY DR STE D1
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5636
Practice Address - Country:US
Practice Address - Phone:770-355-8352
Practice Address - Fax:770-977-8081
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
GAMT000421172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center