Organization
JOHN G GASSAWAY MD
Active
Other names
Orthopedic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G GASSAWAY MD (ORTHOPEDIC SURGEON)
(662) 494-7168
Entity
Organization
Contact information
Practice address
820 MEDICAL CENTER DR, WEST POINT, MS 39773-0322
(662) 494-7168
Mailing address
PO BOX 322, WEST POINT, MS 39773-0322
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012225
—
MS
Enumeration date
05/14/2008
Last updated
07/31/2008
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