Individual
JEANETTE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
(404) 351-5983
Mailing address
95 COLLIER RD NW, STE 2035, ATLANTA, GA 30309-1796
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0639601
GA
Other
Enumeration date
06/02/2006
Last updated
09/21/2010
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