Individual
KAITLYN GOSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1226 DANTIGNAC ST, AUGUSTA, GA 30901-2788
(706) 922-0600
(706) 922-0603
Mailing address
PO BOX 31164, AUGUSTA, GA 30903-2964
(706) 922-0600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13847
GA
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
08/03/2023
Last updated
07/14/2026
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