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Individual
DR. TAY GARNETT GAINES
Active
Individual
DR. TAY GARNETT GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
ME55707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09812W
MEDICARE PTAN
FL
Enumeration date
07/31/2006
Last updated
09/02/2008
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