Individual
JASON K GABRELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1681 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1715
(770) 532-0532
(770) 532-0393
Mailing address
1681 THOMPSON BRIDGE RD, GAINESVILLE, GA 30501-1715
(770) 532-0532
(770) 532-0393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000873232A
—
GA
01
—
582554268
OTHER COMMERCIAL PAYORS
GA
Enumeration date
10/02/2006
Last updated
06/26/2013
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