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Individual

WILLIAM MERCER GARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 ALCOVY ROAD, MONROE, GA 30655
(770) 267-1722
Mailing address
514 STERLING WATER DRIVE, MONROE, GA 30655
(678) 635-5109

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
057314
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
344206552A
GA
Enumeration date
07/02/2006
Last updated
03/08/2011
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