Dutka, Gary M
Dutka, Gary M is an individual health care provider with primary practice located at 2000 Dan Proctor Dr , Saint Marys GA 31558-3810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dutka, Gary M can be contacted via phone (912) 466-7000.Contact Information
Primary practice address
2000 Dan Proctor Dr
Saint Marys GA 31558-3810
Phone: (912) 466-7000
Fax: (919) 477-5470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004291 | Georgia |
Profile Details
| NPI number | 1902871445 |
|---|---|
| LBN Legal business name | Dutka, Gary M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Aug 6th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902871445 | NPPES |
| Georgia | MEDICAID | 256737965A | |
| Georgia | Other | 01157750 | |
| Georgia | MEDICAID | 256737965D | |
| Georgia | MEDICAID | 256737965C |
Popular Providers
-
Taylor, Samuel
2000 Dan Proctor Dr , Saint Marys GA 31558-3810 -
Stewart, Susan S
Maui Medical Group 2180 Main Street, Wailuku HI 96793 -
Davidson, Patrick
314 Millers Branch Dr , Saint Marys GA 31558-4164 -
Young, Sharon Ann
7018 Blair Rd , Calipatria CA 92233-9633 -
Scott, Carol Marie
8415 Bellona Ln Suite 201, Baltimore MD 21204-2055 -
Welch, Kathryn A
220 S Hillside St Ste A , Wichita KS 67211-2151 -
Dunning, April D.
548 Lone Oak Rd , Paducah KY 42003-4538 -
Olliff, Rainey Reanna
1223 Forest St , Saint Simons Island GA 31522-4214