Individual provider · Type 1 NPI

Oscar Cornell Gaines

Specialist · Conyers, GA

NPI number 1124329628 Active

Practice location

1380 Dogwood Dr SE
Conyers, GA 30013-5039

Call (615) 327-3333 Map

Mailing address

3200 Commodore Dr
Macon, GA 31211-2606

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X030410 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124329628

Oscar Cornell Gaines's National Provider Identifier is 1124329628, issued on Nov 15, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Conyers, GA. The record was last updated on Nov 15, 2010.