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Individual

DR. JAMEELAH JEAN GATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
114 HARMONY XING STE 1, EATONTON, GA 31024-9546
(706) 484-0884
(706) 484-0885
Mailing address
114 HARMONY XING STE 1, EATONTON, GA 31024-9546
(706) 484-0884

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28485
SC
207P00000X
Emergency Medicine Physician
51321
GA
207Q00000X
Family Medicine Physician
Primary
051321
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
284855
SC
05
695388615E
GA
Enumeration date
01/13/2006
Last updated
08/26/2024
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