Individual
KENNETH THOMAS GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 GROSS CRESCENT CIR, FORT OGLETHORPE, GA 30742-3643
(706) 858-2000
Mailing address
14 TRENT DR SE, ROME, GA 30161-8024
(706) 295-7464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41127
GA
Other
Enumeration date
07/01/2006
Last updated
04/14/2008
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