Organization
GAMMA ADULT CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MYRTHIL MD (PRESIDENT)
(478) 953-2212
Entity
Organization
Contact information
Practice address
107 OSIGIAN BLVD, SUITE 100, WARNER ROBINS, GA 31088-7891
(478) 953-2212
(478) 953-2228
Mailing address
PO BOX 8594, WARNER ROBINS, GA 31095-8594
(478) 953-2212
(478) 953-2228
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
038886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000620749B
—
GA
Enumeration date
10/21/2008
Last updated
07/21/2022
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