NPI 1104149228

John Phillip Gingrey, MD

Practitioner Specialist Marietta, GA

Practice location

Address: 632 N Saint Marys Ln NW, Marietta, GA 30064-1414
Phone: (202) 225-2931
Fax: (202) 225-2944

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13037 (GA)

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Registry record

NPI: 1104149228
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2010
Record last updated: 3 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.