Individual
JENNIFER GAZAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(678) 457-1582
Mailing address
36 FERN LEAF CT, DALLAS, GA 30157-7168
(678) 457-1582
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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