Individual
DR. GARY EDDY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 PINE ST, STE 760, MACON, GA 31201-2100
(478) 633-6090
(478) 633-2175
Mailing address
840 PINE ST, STE 760, MACON, GA 31201-2100
(478) 633-6090
(478) 633-2175
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
050616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000920598C
—
GA
Enumeration date
02/28/2006
Last updated
09/21/2012
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