Individual
DAVID J. GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 EISENHOWER DR, SUITE 1200, SAVANNAH, GA 31406-1600
(912) 443-4200
(912) 350-0602
Mailing address
340 EISENHOWER DR, SUITE 1200, SAVANNAH, GA 31406-1600
(912) 443-4200
(912) 350-0602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032736
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000421275I
—
GA
01
—
01207618
AMERIGROUP
GA
01
—
11BDRQZ
OLD MEDICARE ID FOR CMG
GA
05
—
G32736
—
SC
01
—
P00630156
RR MEDICARE
GA
Enumeration date
06/05/2006
Last updated
10/14/2009
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