Individual
MR. KENNETH DAVID GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 CONCORD STREET, ZEBULON, GA 30295
(770) 567-8844
(770) 567-5222
Mailing address
370 PEACHBELT RD, THOMASTON, GA 30286-5472
(706) 647-8253
(770) 567-5222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14242
GA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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