Jerry L Gastineau
NPI #1124118971 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1124118971
- Entity Type
- Individual
- Name
- Jerry L Gastineau
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Dec 18, 2014
Practice Location
- Address
- 1505 W ELK AVE
- Address 2
- SUITE 2
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2848
- Phone
- (423) 543-1261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics, Ph.D. Medical Genetics |
| Family Medicine |
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