Individual
GREGORY S HAROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 WIMBISH WAY, PERRY, GA 31069-9685
(478) 987-1534
Mailing address
144 WIMBISH WAY, PERRY, GA 31069-9685
(478) 987-1534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022774
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002600114E
—
GA
01
—
P00014527
MEDICARE RAILROAD #
GA
Enumeration date
05/26/2006
Last updated
03/04/2011
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