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1285797639
DAVID GILLENWATER
CANTON, GA
NPI
1285797639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 043052)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- DAVID GILLENWATER M.D.
191 LAMAR HALEY PKWY
CANTON, GA 30114-8019
Phone number: 770-704-1600
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Mailing Address
-- DAVID GILLENWATER M.D.
1401 BURLEYSON DR
DALTON, GA 30720-2522
Phone number: 706-270-5002
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