Individual
MRS. KEREESE S GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2199 COLLEGE AVE NE, ATLANTA, GA 30317-1334
(404) 369-1692
Mailing address
406 M NORTHSIDE DRIVE, VALDOSTA, GA 31602
(229) 241-0059
(229) 241-2088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74177
GA
Other
Enumeration date
06/15/2012
Last updated
03/17/2023
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