Organization
GATEWOOD CLINIC AND MEDSPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELE PIERSON (OWNER)
(770) 685-0718
Entity
Organization
Contact information
Practice address
715 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3379
(470) 823-3051
(678) 615-2314
Mailing address
2989 WILSONE PL, STONE MOUNTAIN, GA 30083-3379
(770) 685-0718
(678) 615-2314
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
05/07/2025
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