Doctor Name: | DR. GAIL JUANITA GOSSETT |
NPI Number: | 1003974700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0000013331 |
Business Practice Address: | 1407 Union Ave Suite 305 Memphis, TN - 381043627 |
Business Phone Number: | 9017261762 |
Business Fax Number: | 9012743475 |
Mailing Address: | 1407 Union Ave, Suite 305 MEMPHIS |
State: | TN |
Postal Code: | 381043627 |
Phone Number: | 9017261762 |
Fax Number: | 9012743475 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 170100000X |
License Number: | 0000013331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
Taxonomy Specialization: | |
Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |