Individual
DAVID GREGORY GAINES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 HISTORIC HIGHWAY 441, DEMOREST, GA 30535-0037
(706) 754-3113
Mailing address
1801 NW 66TH AVE, PLANTATION, FL 33313-4571
(706) 754-3113
(865) 291-2849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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