Individual
CHARLES GAINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-8340
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-8332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169444
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C003150
AR
Other
Enumeration date
05/27/2016
Last updated
12/21/2016
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