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Individual

KARA GASKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1810 MULKEY RD STE 200, AUSTELL, GA 30106-1150
(404) 414-4518
(770) 944-0829
Mailing address
1810 MULKEY RD STE 200, AUSTELL, GA 30106-1150
(404) 414-4518
(770) 944-0829

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN138448NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN138448
RN LICENSE NUMBER
GA
Enumeration date
08/23/2011
Last updated
08/15/2012
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