Provider Demographics
NPI:1750432951
Name:GAY, PATRICK MATH (PT)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MATH
Last Name:GAY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:709 N WESTOVER BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-1404
Mailing Address - Country:US
Mailing Address - Phone:229-446-2333
Mailing Address - Fax:229-446-7733
Practice Address - Street 1:709 N WESTOVER BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1404
Practice Address - Country:US
Practice Address - Phone:229-446-2333
Practice Address - Fax:229-446-7733
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT005623225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65BBBNZMedicare ID - Type Unspecified