Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON L GATES, M.D.
Active Sole ProprietorDR. JACKSON L GATES, M.D. is a General Practice healthcare provider located in CONYERS, Georgia. NPI 1962418400 is currently active in the NPPES registry. Verify at CMS.
General Practice · CONYERS, GA
Registration Details
- NPI Number
- 1962418400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.058310019603 yrs)
- Last Updated
- Aug 10, 2010
- Licenses
-
038767 (GA)038767 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1880 LANCASTER DRIVECONYERS, GA, 300136433Browse GA providers · Browse ZIP 30013
- Phone
- 6785916509
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other General Practice Providers in CONYERS, GA
| Name | Credential | NPI |
|---|---|---|
| MARY JANE B KASSAM | MD | 1306844675 |
| MR. JACK LEE SORG | MD | 1407941131 |
| DR. WANJA E MWANGI | MD, MPH | 1982960118 |
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.