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1093070096
GARRY MICHAEL
MACON, GA
NPI
1093070096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA RN093691)
Enumeration Date
2012-07-06
Last Update Date
2012-07-06
Business Address
Mr. GARRY MICHAEL NP-C
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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Mailing Address
Mr. GARRY MICHAEL NP-C
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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