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MY GAY DOCTOR P.C. NPI 1144467739


NPI Information

NPI: 1144467739
Provider Name: MY GAY DOCTOR, P.C.
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1648 BERKELEY LN NE
ATLANTA, GA
ZIP 30329
Phone: (404) 634-6557
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MY GAY DOCTOR, P.C. is an emergency medicine in Atlanta, GA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MY GAY DOCTOR, P.C. NPI is 1144467739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1648 BERKELEY LN NE
ATLANTA, GA
ZIP 30329-731
Phone: (404) 634-6557

The provider's authorized official is Travis Roth .
The authorized official title is Owner/president and has the following contact phone number (404) 634-6557.

The enumeration date for this NPI number is 1/19/2009 and was last updated on 1/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine48962GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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