MRS. Elisabeth Jackson Gaines I, PA-C
NPI #1194706234 in Douglasville, Georgia
Provider Information
- NPI Number
- 1194706234
- Entity Type
- Individual
- Name
- MRS. Elisabeth Jackson Gaines I, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 7, 2005
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 4586 TIMBER RIDGE DR STE 200
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-7514
- Phone
- (770) 942-0457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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