Individual
DR. GARY W. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1432 BROADRICK DR, DALTON, GA 30720-3009
(706) 226-8990
(706) 529-5313
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
(706) 217-2054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
020465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000264745A
—
GA
01
—
01410445
AMERIGROUP
GA
01
—
335239
WELLCARE
GA
01
—
4141465
TENN CARE
TN
01
—
P00859441
RR MEDICARE
GA
Enumeration date
07/11/2006
Last updated
11/04/2025
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