Individual
NIGEL GAUNTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 HIGH WAY 314, SUITE C, FAYETTEVILLE, GA 30214
(470) 352-0524
Mailing address
165 KEATON DR, FAYETTEVILLE, GA 30215-2035
(470) 352-0524
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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