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NPI Profile for Dr JACKSON L GATES in CONYERS, GA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Anatomic Pathology & Clinical Pathology |
207ZP0102X | 22 | Physician/Pathology |
| NPI Number | 1962418400 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 08/01/2006 | |
| Last updated | 08/10/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JACKSON L GATES
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JACKSON L GATES, MD