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Individual
DWAYNE THOMAS GARD
Active
Individual
DWAYNE THOMAS GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
060731
GA
207R00000X
Internal Medicine Physician
127604
NC
208M00000X
Hospitalist Physician
Primary
060731
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01352254
AMERIGROUP
—
01
—
466640
WELLCARE
GA
05
—
721978496A
—
GA
05
—
721978496B
—
GA
05
—
G60731
—
SC
01
—
P00609441
RR MEDICARE
GA
01
—
P00803304
RR MEDICARE
GA
Enumeration date
03/05/2007
Last updated
02/16/2026
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