Gaines, Julia T.

Gaines, Julia T. is an individual health care provider with primary practice located at 3405 Dallas Hwy Sw Ste 300 , Marietta GA 30064-6426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gaines, Julia T. can be contacted via phone (770) 425-5331.

Contact Information

Primary practice address
3405 Dallas Hwy Sw Ste 300 Marietta GA 30064-6426
Phone: (770) 425-5331
Fax: (770) 425-0799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 040384 Georgia

Profile Details

NPI number 1497709992
LBN Legal business name Gaines, Julia T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497709992 NPPES
Georgia MEDICAID 000682052D
Georgia MEDICAID 000682052A
Georgia MEDICAID 000682052E

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