Individual
MR. ALVIN GASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4744 VELPOE DR, COLUMBUS, GA 31907-6515
(706) 315-4221
Mailing address
4744 VELPOE DR, COLUMBUS, GA 31907-6515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN069782
GA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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