Individual
MR. EDWARD HARLEY GAILE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1505 NORTHSIDE FORSYTH DR, STE 3600, CUMMING, GA 30041
(770) 343-8565
(770) 781-3559
Mailing address
1285 UPPER HEMBREE RD, ROSWELL, GA 30076-1143
(770) 343-8565
(770) 343-8651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
641
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001027A
—
GA
Enumeration date
02/23/2007
Last updated
03/08/2018
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