Organization
GAINESVILLE INTERNAL MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA AUTRY (OFFICE MANAGER)
(770) 532-7501
Entity
Organization
Contact information
Practice address
667 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 532-7501
(770) 532-8322
Mailing address
667 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 532-7501
(770) 532-8322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2006
Last updated
08/28/2023
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