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Individual

JOE EDWARD GASKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
513 GREAT OAKS DR STE A, MONROE, GA 30655-8211
(770) 267-8368
(770) 207-0640
Mailing address
513 GREAT OAKS DR A, MONROE, GA 30655-8211
(770) 267-8368
(770) 207-0640

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
033967
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
033967
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000542286B
GA
01
52431027
BC/BS
GA
Enumeration date
09/14/2006
Last updated
02/01/2016
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