DR. JACKSON GATES, M.D.
General Practice
Active
Individual
NPI: 1962418400
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 038767 (GA) |
| Pathology - Anatomic Pathology & Clinical Pathology | 207ZP0102X | No | 038767 (GA) |
Frequently Asked Questions
NPI 1962418400 is the National Provider Identifier for DR. JACKSON GATES, M.D., a General Practice provider located in Conyers, GA. This NPI was enumerated on August 1, 2006.
DR. JACKSON GATES, M.D. practices at 1880 LANCASTER DRIVE, Conyers, GA 30013.
Quick Facts
- NPI
- 1962418400
- Type
- Individual
- Enumerated
- Aug 1, 2006
- Last Updated
- Aug 10, 2010
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