Most Relevant Information
Provider Data
| NPI Number: | 1003237678 |
| Provider Name: | TINA GOSSETT RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN079331 |
Most Important Dates
| Enumeration Date: | 12/26/2013 |
| Last Updated: | 12/26/2013 |
Provider Practice Location
900 SHUGART RD
DALTON
GA
307202467
Practice Location Phone/Fax
| Phone: | 7062705107 |
| Fax: |
Provider Mailing Location
900 SHUGART RD
DALTON
GA
307202467
Provider Mailing Phone/Fax
| Phone: | 7062705107 |
| Fax: |