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Individual
DR. JIMMY LEE GREGORY
Active
Individual
DR. JIMMY LEE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000598
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD00598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000430504G
PEACH STATE
GA
05
—
000430504G
—
GA
01
—
10038991
AMERIGROUP
GA
01
—
309352
WELLCARE
GA
Enumeration date
03/29/2006
Last updated
12/27/2024
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