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Individual

DR. THOMAS DILLARD GARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
346 DEEP SOUTH FARM RD STE A, BLAIRSVILLE, GA 30512-2218
(706) 745-9417
(706) 896-0877
Mailing address
346 DEEP SOUTH FARM RD STE A, BLAIRSVILLE, GA 30512-2218
(706) 745-9417
(706) 896-0877

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060264
GA
207Q00000X
Family Medicine Physician
27953
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060264
STATE LICENSE
GA
05
437064162A
GA
05
437064162C
GA
05
437064162D
GA
Enumeration date
10/31/2006
Last updated
09/15/2025
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