Individual
DR. GARY JAMES WYTIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
164 GLENN CARRIE RD, HULL, GA 30646-4203
(706) 548-1419
Mailing address
164 GLENN CARRIE RD, HULL, GA 30646-4203
(706) 548-1419
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
001972
GA
Other
Enumeration date
02/05/2007
Last updated
03/18/2013
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