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Individual

GREGORY J MACKAY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5673 PEACHTREE DUNWOODY RD, STE 870, ATLANTA, GA 30342
(404) 255-2975
(404) 255-2276
Mailing address
5673 PEACHTREE DUNWOODY RD, STE 870, ATLANTA, GA 30342
(404) 255-2975
(404) 255-2276

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
032241
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52674035002
BCBS
01
5488425
AETNA
Enumeration date
06/12/2006
Last updated
07/08/2007
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