Organization
D&AG HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE THOMAS GARD MD (ORGANIZER)
(912) 658-3489
Entity
Organization
Contact information
Practice address
118 TAHOE DR, POOLER, GA 31322-4100
(912) 658-3489
Mailing address
118 TAHOE DR, POOLER, GA 31322-4100
(912) 658-3489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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