Individual
GEORGE G MYGATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6002 PROFESSIONAL PKWY, SUITE 280, DOUGLASVILLE, GA 30134-5600
(770) 942-5227
(770) 489-7589
Mailing address
6002 PROFESSIONAL PKWY, SUITE 280, DOUGLASVILLE, GA 30134-5600
(770) 942-5227
(770) 489-1589
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
020462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000281872A
—
GA
Enumeration date
05/08/2006
Last updated
10/29/2019
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