Myrna Gacusan

NPI 1174976088 · on the registry since 2016

Practice

Address: 6911 Tara Blvd
Jonesboro, GA 30236
Phone: (770) 477-8573
Fax: (770) 477-8573
Organisation at this address: Mike Y. Tan, M.D.P.C.
Atlanta Foot And Leg Clinic
Kalish Foot & Ankle Institute
Clayton Mobile Diagnostic Clinic
Lower Extremity Diagnostics, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia