Individual
DAVID N GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
305 PINEVIEW DR, WAYCROSS, GA 31501-5229
(912) 283-7118
(912) 283-7132
Mailing address
305 PINEVIEW DR, WAYCROSS, GA 31501-5229
(912) 283-7118
(912) 283-7132
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP3174172
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
RN230020
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4363143
ORTHOPEDIC SURGERY AND SPORTS MEDICINE-MAYO CLINIC HEALTH SYSTEM WAYCROSS
GA
Enumeration date
07/17/2013
Last updated
07/17/2013
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