Individual
MS. MEGAN RUTHERFORD GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3820 MEDICAL PARK DR, AUSTELL, GA 30106-1110
(770) 948-6041
(770) 819-5411
Mailing address
3820 MEDICAL PARK DR, AUSTELL, GA 30106-1110
(770) 946-6041
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8046
GA
Other
Enumeration date
08/08/2016
Last updated
09/12/2019
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