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Individual

GEORGE THOMAS GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 BATTLEFIELD PKWY, SUITE 130, RINGGOLD, GA 30736-5166
(706) 866-2740
(706) 861-3944
Mailing address
PO BOX 5398, FT OGLETHORPE, GA 30742-0598
(706) 866-2740
(706) 861-3944

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33333
GA
208600000X
Surgery Physician
36331
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00627701B
GA
Enumeration date
07/26/2005
Last updated
02/05/2013
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