Individual
CHARLENE RENEE GATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SWEET GUM DR, JACKSON, MS 39212-9628
(601) 454-4220
Mailing address
100 SWEET GUM DR, JACKSON, MS 39212-9628
(601) 454-4220
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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