ELISABETH JACKSON GAINES

DOUGLASVILLE, GA
NPI1194706234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003791)
Enumeration Date2005-11-07
Last Update Date2020-12-07
Business Address
Mrs. ELISABETH JACKSON GAINES PA-C
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA 30135-7514
Phone number: 770-942-0457
Mailing Address
Mrs. ELISABETH JACKSON GAINES PA-C
1835 SAVOY DR SUITE 300
ATLANTA, GA 30341-1072
Phone number: 770-942-0457
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