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Individual
DR. GEORGE W. GREGORY
Active
Individual
DR. GEORGE W. GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G41184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G41184
MEDICAL LICENSE
CA
01
—
GR164327
MEDICARE PROVIDER #
PA
Enumeration date
12/27/2007
Last updated
12/27/2007
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