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Individual

DAVID J. GASKIN

Active
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Individual

DAVID J. GASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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