Individual
GREGORY DAVIS MACKAY
Active
Individual
GREGORY DAVIS MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 60347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100015007
RR MEDICARE
FL
01
—
12603
BLUE CROSS
FL
05
—
O55359000
—
FL
Enumeration date
06/26/2006
Last updated
01/22/2018
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