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Individual
DR. GARY CREMEANS
Active
Individual
DR. GARY CREMEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19210
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807508000
MEDICAID
WV
01
—
2182846
MEDICAID
OH
01
—
64009202
MEDICAID
KY
01
—
P00073470
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
03/27/2006
Last updated
11/24/2021
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