Individual
DR. HOYT WAYBORN GAZAWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2973 HEART PINE LN, BUFORD, GA 30519-7643
(404) 901-4075
Mailing address
2973 HEART PINE LN, BUFORD, GA 30519-7643
(404) 901-4075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
035421
GU
208D00000X
General Practice Physician
Primary
035421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506173A
—
GA
01
—
1622803
CIGNA
GA
01
—
1706708
UNITED HEALTH CARE
GA
01
—
205307637008
PRUDENTIAL
GA
01
—
2447
PROMINA
GA
01
—
3459479
AETNA
GA
01
—
565908
US HEALTHCARE
GA
01
—
987125
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/26/2006
Last updated
12/04/2024
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