Individual
DR. JENNIFER K GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD STE 700, ATLANTA, GA 30342-1752
(404) 778-3401
Mailing address
2700 MOUNT OLIVE DR, DECATUR, GA 30033-2930
(941) 315-3604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
78311
GA
Other
Enumeration date
04/05/2013
Last updated
08/23/2017
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