Individual
PATRICE T GASPARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328
(404) 364-7243
(770) 677-7324
Mailing address
20 GLENLAKE PKWY, ATLANTA, GA 30328
(770) 677-6037
(770) 677-7324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036749
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036749
GA
Other
Enumeration date
04/27/2006
Last updated
09/11/2025
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