Botstein, Gary Robert
Botstein, Gary Robert is an sole proprietor health care provider with primary practice located at 2712 N Decatur Rd , Decatur GA 30033-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Botstein, Gary Robert can be contacted via phone (404) 299-0187.Contact Information
Primary practice address
2712 N Decatur Rd
Decatur GA 30033-5930
Phone: (404) 299-0187
Fax: (404) 292-2766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 022515 | Georgia |
Profile Details
| NPI number | 1003853177 |
|---|---|
| LBN Legal business name | Botstein, Gary Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2006 |
| Last updated | Feb 28th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003853177 | NPPES |
| Georgia | MEDICAID | 00252315B |
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