Individual
DR. MARK ANTHONY GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 W WASHINGTON ST, EUFAULA, AL 36027-1899
(334) 688-7000
Mailing address
1013 MEADOW RIDGE DR, BAINBRIDGE, GA 39819-7884
(229) 400-7302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046852
GA
207R00000X
Internal Medicine Physician
Primary
25304
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00817209L
—
GA
05
—
00817209M
—
GA
01
—
364840
WELLCARE
GA
01
—
52820011-008
BCBS
GA
01
—
52820011-009
BCBS
GA
01
—
P00321252
RAILROAD MEDICARE
GA
Enumeration date
09/21/2005
Last updated
05/10/2024
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