Doctor Name: | GAIL MARIE MCGORY |
NPI Number: | 1457512113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | NP10011 |
Business Practice Address: | 832 S Main St Orrville, OH - 446672208 |
Business Phone Number: | 3306844767 |
Business Fax Number: | 3306824729 |
Mailing Address: | 245 21st St Nw, CANTON |
State: | OH |
Postal Code: | 447093909 |
Phone Number: | 3306844767 |
Fax Number: | 3306824729 |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP10011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |