Provider Demographics
NPI:1457761264
Name:DUTCHER, GISELLE MARIE ALMEIDA (MD)
Entity type:Individual
Prefix:DR
First Name:GISELLE
Middle Name:MARIE ALMEIDA
Last Name:DUTCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JOHNSON FERRY ROAD NE
Mailing Address - Street 2:BUILDING 1, SUITE 600
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-256-4777
Mailing Address - Fax:
Practice Address - Street 1:1100 JOHNSON FERRY RD NE
Practice Address - Street 2:BUILDING 1, SUITE 600
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-257-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78412207RH0003X
OH35.146102207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology