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Contact Information

TAKIRAH L GAYLE
1025 VETERANS MEMORIAL HWY SW
SUITE 660
MABLETON, GA30126
 Phone: 404-919-0409
 Fax: 678-623-8220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for TAKIRAH L GAYLE · (Female)

NPI # 1215619523
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2023
Last updated 08/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # APC009182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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