DR. Jacqueline Jeanette Carter Gustafson, MD

NPI #1023209632 in Cleveland, Tennessee

Provider Information

NPI Number: 1023209632
Entity Type: Individual
Name: DR. Jacqueline Jeanette Carter Gustafson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 8, 2007
Last Updated: Aug 20, 2024

Practice Location

Address: 2700 WESTSIDE DR NW STE 204
City: Cleveland
State: Tennessee
ZIP Code: 37312-3682
Phone: (423) 244-9270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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