Search › Georgia › 208D00000X
Jackson Gates, M.D
NPI 1962418400 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1880 Lancaster Drive
Conyers, GA 30013 - Phone
- (678) 591-6509
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 207ZP0102X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-10
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