Search › Georgia › 363LF0000X
Jackline Gates
NPI 1801432216 · on the registry since 2019
Practice
- Address
- 1275 Highway 54 W Ste 201
Fayetteville, GA 30214 - Phone
- (770) 461-3776
- Fax
- (770) 461-3565
- Organisation at this address
- Crh
Martha A Schuh, Md
Georgia Urology Pa
J. Rena Owsley-Brown
Sleep Services Of AmericaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia