MS. Carol E., Gaines, CSA

NPI #1659575090 in Auburn, Georgia

Provider Information

NPI Number
1659575090
Entity Type
Individual
Name
MS. Carol E., Gaines, CSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
CSA
Enumeration Date
Jun 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1425 MORIAH TRCE
City
Auburn
State
Georgia
ZIP Code
30011-9637
Phone
(404) 936-1378

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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