Individual
REBECCA B GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN066224
GA
Other
Enumeration date
02/07/2007
Last updated
05/17/2011
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