Individual
DR. JANE ANNE GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(205) 586-4225
Mailing address
527 GARY GLEN DR, AUGUSTA, GA 30907-3691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12908
GA
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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