person
Gary M Dutka, PA-C
Medical Physician Assistant in Saint Marys, Georgia
NPI 1902871445

Gary M Dutka is a Medical Physician Assistant based in Durham, GA and is specialized in Medical. Gary M Dutka practices in Saint Marys, GA and has the professional credentials of PA-C. The NPI Number for Gary M Dutka is 1902871445 and holds a License No. 004291 (Georgia).

The current practice location address for Gary M Dutka is 2000 Dan Proctor Dr, Saint Marys, GA and can be reached out via phone at 912-466-7000 and via fax at 919-477-5470.

Location: 2000 Dan Proctor Dr, Saint Marys, GA, 27704-0385
person
Provider Profile Details
NPI Number
1902871445
Provider Name
Gary M Dutka
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2000 Dan Proctor Dr, Saint Marys, GA, 27704-0385
Phone Number
912-466-7000
Fax Number
919-477-5470
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
256737965A 05 GA
01157750 01 GA AMERIGROUP
256737965D 05 GA
256737965C 05 GA
institution
Provider Business Practice Location Address Details
Address
2000 Dan Proctor Dr
City
State
Zip
31558-3810
Phone Number
912-466-7000
Fax Number
919-477-5470
person
Provider Business Mailing Address Details
Address
2000 Dan Proctor Dr
City
State
Zip
31558-3810
Phone Number
912-466-7000
Fax Number
919-477-5470
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004291 (Georgia)
Definition
Definition to come...
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