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Individual

GARY R KANIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
33650 HIGHWAY 43, SUITE100, THOMASVILLE, AL 36784-3305
(334) 636-9999
(334) 636-9950
Mailing address
33650 HIGHWAY 43, SUITE100, THOMASVILLE, AL 36784-3305
(334) 636-9999
(334) 636-9950

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO-342
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000086382
AL
Enumeration date
09/15/2005
Last updated
12/06/2010
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