Provider Demographics
NPI:1144699869
Name:SUTTON, GREGORY THOMAS (DPM)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:THOMAS
Last Name:SUTTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:447 EE BUTLER PARKWAY FLOOR 1
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-4524
Mailing Address - Country:US
Mailing Address - Phone:770-796-0005
Mailing Address - Fax:770-796-0006
Practice Address - Street 1:447 EE BUTLER PARKWAY FLOOR 1
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-4524
Practice Address - Country:US
Practice Address - Phone:770-796-0005
Practice Address - Fax:770-796-0006
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001374213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery