# GAMMA ADULT CARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912159062
- **Authorized official:** DR. GARY MYRTHIL MD (PRESIDENT)
- **Authorized official phone:** (478) 953-2212

## Contact information

- **Practice address:** 107 OSIGIAN BLVD, SUITE 100, WARNER ROBINS, GA 31088-7891
- **Practice address phone:** (478) 953-2212
- **Practice address fax:** (478) 953-2228
- **Mailing address:** PO BOX 8594, WARNER ROBINS, GA 31095-8594
- **Mailing address phone:** (478) 953-2212
- **Mailing address fax:** (478) 953-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 038886 | GA | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000620749B | — | GA |