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NPI Code Detail

MEDICARE: DR. JACQUELINE GINDLER M.D.

MEDICARE:  DR. JACQUELINE  GINDLER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician031923GA

General Provider Information

NPI Number : 1891095329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE GINDLER M.D.
Provider Business Mailing Address
First Line : 1267 BILTMORE DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3835
Country : US
Telephone Number : 678-488-6426
Fax Number :
Provider Business Practice Location Address
First Line : 1799 BRIARCLIFF RD NE
Second Line : SUITE X
City : ATLANTA
State : GA
Zip : 30306-2142
Country : US
Telephone Number : 404-745-4578
Fax Number : 404-745-4579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 07/05/2016

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Directions to “ DR. JACQUELINE GINDLER M.D.” Practice Location

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