Individual
MRS. MYLISSA MCGAHA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
215 MIMS RD, SYLVANIA, GA 30467-1994
(912) 564-7426
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
03/05/2024
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