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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELISABETH JACKSON GAINES I, PA-C

Active

MRS. ELISABETH JACKSON GAINES I, PA-C is a Physician Assistant healthcare provider located in DOUGLASVILLE, Georgia. NPI 1194706234 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DOUGLASVILLE, GA

Registration Details

NPI Number
1194706234
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2005 (20.736124219103 yrs)
Last Updated
Dec 7, 2020
License
003791 (GA)

Practice Information

Address
4586 TIMBER RIDGE DR STE 200
DOUGLASVILLE, GA, 301357514
Browse GA providers · Browse ZIP 30135
Phone
7709420457
Fax
7709427699
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DOUGLASVILLE, GA

Name Credential NPI
ROBERT JORDAN 1326149063
MR. ROGER LOUIS WEAVER PA-C 1306984323
ASHLEY S HOLLAND PA-C 1649413774
NADEGE NERETTE PA 1558790774
ANGEL RENAY BRIDGES PA-C 1316327216
PATIENCE OGECHI IBEZIM PA-C 1275023566
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.