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Individual

ROMAN L GALYSH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
060373
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407732684A
GA
05
407732684B
GA
05
407732684C
GA
Enumeration date
05/21/2007
Last updated
04/23/2020
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