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General NPI Number Information
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NPI Number | 1285630574
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Entity Type | Individual
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Provider Name | JOHN PETER GAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-851-6323
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Fax |
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Provider Business Mailing Address
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Address Line | 5775 GLENRIDGE DRIVE NE B525
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City | ATLANTA
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State | GA
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Zip | 30328-1849
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Country | US
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Telephone | 678-553-7783
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Fax | 678-553-7793
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | MD15216
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 056709
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License Number State | GA
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