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Individual

DR. BRIAN P GAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 BROAD ST SE, SUITE 102, GAINESVILLE, GA 30501-3725
(770) 718-9776
(770) 718-1910
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
045467
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000791997E
GA
01
P00235315
RAILROAD MEDICARE
GA
Enumeration date
12/07/2005
Last updated
03/14/2008
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