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Individual
COY W. GAMMAGE JR.
Active
Individual
COY W. GAMMAGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
021331
LA
207RH0003X
Hematology & Oncology Physician
Primary
021331
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1976652
—
LA
01
—
830005032
RRMC
LA
Enumeration date
07/07/2005
Last updated
10/13/2022
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