NPI 1871398842

Gatewood Clinic and Medspa LLC

Organisation Clinical Genetics (M.D.) Physician Stone Mountain, GA

Practice location

Address: 715 Village Square Dr, Stone Mountain, GA 30083-3379
Phone: (470) 823-3051
Fax: (678) 615-2314
Mailing address: 2989 Wilsone Pl, Stone Mountain, GA 30083-3379

Authorised official

Name: Kimberly Michele Pierson
Title: Owner
Phone: (770) 685-0718

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Georgia →

Registry record

NPI: 1871398842
Entity type: Organization
NPI issued: 14 Feb 2025
Record last updated: 7 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.