Individual
DR. JACQUELINE JEANETTE CARTER GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 WESTSIDE DR NW STE 204, CLEVELAND, TN 37312-3682
(423) 244-9270
(423) 244-9255
Mailing address
2700 WESTSIDE DR NW STE 204, CLEVELAND, TN 37312-3682
(423) 244-9270
(423) 244-9255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD67660
TN
Other
Enumeration date
08/08/2007
Last updated
08/20/2024
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