Most Relevant Information
Provider Data
| NPI Number: | 1003317090 |
| Provider Name: | ADDIE B GAY |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN214733 |
Most Important Dates
| Enumeration Date: | 02/24/2018 |
| Last Updated: | 12/08/2023 |
Provider Practice Location
358 VETERANS PKWY N
MOULTRIE
GA
317884171
Practice Location Phone/Fax
| Phone: | 2298913513 |
| Fax: | 2298901986 |
Provider Mailing Location
358 VETERANS PKWY N
MOULTRIE
GA
317884171
Provider Mailing Phone/Fax
| Phone: | 2298913513 |
| Fax: | 2298901986 |