Individual
MRS. CASANDRA SUE GAMMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
71 BOXWOOD LN, MIDLAND, GA 31820-4599
(706) 221-6005
Mailing address
71 BOXWOOD LN, MIDLAND, GA 31820-4599
(706) 221-6005
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN202261
GA
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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