Gary Eddy SR. MD

NPI 1073589909 - Obstetrics & Gynecology - 207VX0201X

NPI Details
NPI 1073589909
Gender Male
Enumeration Date 02/28/2006
Last Updated 09/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
840 PINE ST
STE 760
MACON GA, 31201-2100, US
Phone (478) 633-6090
Fax (478) 633-2175
Business Location
840 PINE ST
STE 760
MACON GA, 31201-2100, US
Phone (478) 633-6090
Fax (478) 633-2175
Toxanomy
Taxonomy Code 207VX0201X
License State Georgia
License Number 050616
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According to our database, Dr. Gary Eddy SR. MD NPI is 1073589909, taxonomy code is 207VX0201X and license number is 050616, license state is located at Georgia. Gary Eddy SR. MD physically located at 840 Pine St, Macon GA, 31201-2100. NPI Number Gary Eddy SR. MD has the Individual type.

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1073589909 NPI number is provided on an as is basis without warranty of any kind. 1073589909 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Eddy SR. MD are for informational purposes only.