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Individual

GARY P MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 AUSTIN DR, DEMOREST, GA 30535-4567
(706) 839-4095
(706) 839-4097
Mailing address
PO BOX 657, DEMOREST, GA 30535-0657
(706) 839-4095
(706) 754-3518

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18679
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
921792038A
GA
Enumeration date
08/09/2006
Last updated
06/28/2010
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