Individual
DR. GARY MYRTHIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 OSIGIAN BLVD STE 100, WARNER ROBINS, GA 31088-7891
(478) 953-2212
(478) 953-2228
Mailing address
PO BOX 8594, WARNER ROBINS, GA 31095-8594
(478) 953-2212
(478) 953-2228
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
038886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000620749B
—
GA
Enumeration date
07/10/2006
Last updated
05/10/2022
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