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Individual

GREGORY R STRAUTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 S ENOTA DR NE, SUITE 150, GAINESVILLE, GA 30501-3473
(770) 219-3202
(770) 219-3209
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
070594
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201093283
GROUP TAX ID#
NC
Enumeration date
07/21/2005
Last updated
10/06/2020
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