Individual
DR. DANE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 DOUBLE TREE DR SE, CALHOUN, GA 30701-4665
(706) 602-9771
Mailing address
320 DOUBLE TREE DR SE, CALHOUN, GA 30701-4665
(706) 602-9771
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
050884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000941366L
—
GA
05
—
121044531A
—
GA
01
—
417905286
TRICARE
GA
Enumeration date
05/04/2006
Last updated
03/04/2010
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