Thorpe, Phoebe Gates

Thorpe, Phoebe Gates is an individual health care provider with primary practice located at 5405 Memorial Dr Suite D, Stone Mountain GA 30083-3234. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Thorpe, Phoebe Gates can be contacted via phone (404) 296-3800.

Contact Information

Primary practice address
5405 Memorial Dr Suite D Stone Mountain GA 30083-3234
Phone: (404) 296-3800
Fax: (404) 297-8753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 53889 Georgia

Profile Details

NPI number 1003814369
LBN Legal business name Thorpe, Phoebe Gates
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 20th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003814369 NPPES
Georgia MEDICAID 175583131A

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