Russell Gore M.D.

NPI 1003800665 - Preventive Medicine - 2083A0100X

NPI Details
NPI 1003800665
Gender Male
Enumeration Date 09/09/2005
Last Updated 08/02/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
101 WOODRUFF CIR STE 6000
ATLANTA GA, 30322-0001, US
Phone (404) 727-5004
Fax
Business Location
101 WOODRUFF CIR STE 6000
ATLANTA GA, 30322-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 2083A0100X
License State Georgia
License Number 052072
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According to our database, Dr. Russell Gore M.D. NPI is 1003800665, taxonomy code is 2083A0100X and license number is 052072, license state is located at Georgia. Russell Gore M.D. physically located at 101 Woodruff Cir Ste 6000, Atlanta GA, 30322-0001. NPI Number Russell Gore M.D. has the Individual type.

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1003800665 NPI number is provided on an as is basis without warranty of any kind. 1003800665 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Gore M.D. are for informational purposes only.