Gary Robert Botstein M.D.

NPI 1003853177 - Internal Medicine - 207RR0500X

NPI Details
NPI 1003853177
Gender Male
Enumeration Date 05/31/2006
Last Updated 02/28/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2712 N DECATUR RD
DECATUR GA, 30033-5930, US
Phone (404) 299-0187
Fax (404) 292-2766
Business Location
2712 N DECATUR RD
DECATUR GA, 30033-5930, US
Phone (404) 299-0187
Fax (404) 292-2766
Toxanomy
Taxonomy Code 207RR0500X
License State Georgia
License Number 022515
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According to our database, Dr. Gary Robert Botstein M.D. NPI is 1003853177, taxonomy code is 207RR0500X and license number is 022515, license state is located at Georgia. Gary Robert Botstein M.D. physically located at 2712 N Decatur Rd, Decatur GA, 30033-5930. NPI Number Gary Robert Botstein M.D. has the Individual type.

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1003853177 NPI number is provided on an as is basis without warranty of any kind. 1003853177 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Robert Botstein M.D. are for informational purposes only.