Leslie Gaskill, Md, Llc | |
6290 Abbotts Bridge Rd Suite 201 Duluth GA 30097-8495 | |
(770) 495-9995 | |
(770) 232-1999 |
Full Name | Leslie Gaskill, Md, Llc |
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Speciality | Internal Medicine |
Location | 6290 Abbotts Bridge Rd, Duluth, Georgia |
Authorized Official Name and Position | Leslie S Gaskill (OWNER/PHYSICIAN) |
Authorized Official Contact | 7704959995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leslie Gaskill, Md, Llc 6290 Abbotts Bridge Rd Suite 201 Duluth GA 30097-8495 Ph: (770) 495-9995 | Leslie Gaskill, Md, Llc 6290 Abbotts Bridge Rd Suite 201 Duluth GA 30097-8495 Ph: (770) 495-9995 |
NPI Number | 1013180330 |
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Provider Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |
Medicare PECOS PAC ID | 0042260358 |
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Medicare Enrollment ID | O20050125000503 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013180330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Leslie S Gaskill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144242207 PECOS PAC ID: 9032169354 Enrollment ID: I20050126000228 |
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