Individual provider · Type 1 NPI
Carol E., Gaines, CSA
Surgical Physician Assistant · Auburn, GA
NPI number
1659575090
Active
Practice location
1425 Moriah Trce
Auburn, GA 30011-9637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 3014 (GA) |
Surgical Physician Assistant: Definition to come...
About NPI 1659575090
Carol E., Gaines, CSA's National Provider Identifier is 1659575090, issued on Jun 11, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Auburn, GA. The record was last updated on Jul 8, 2007.