Theofilis, Gary George

Theofilis, Gary George is an sole proprietor health care provider with primary practice located at 6125 Broadwater Trl , Cumming GA 30040-9521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Theofilis, Gary George can be contacted via phone (412) 477-4493.

Contact Information

Primary practice address
6125 Broadwater Trl Cumming GA 30040-9521
Phone: (412) 477-4493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X OS01718 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS01718 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 74400 Georgia
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 74400 Georgia

Profile Details

NPI number 1558672014
LBN Legal business name Theofilis, Gary George
Credentials DO, MBA, DABAM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2010
Last updated Jul 21st, 2022 - about 2 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.

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