Individual
JOSHUA F GASTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
154 W TUGALO ST, TOCCOA, GA 30577-2360
(706) 886-1309
Mailing address
154 WEST TUGALO STREET, TOCCOA, GA 30577-2360
(706) 886-1309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
154209
GA
Other
Enumeration date
09/23/2009
Last updated
04/06/2012
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