Individual
DR. RUSSELL GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 WOODRUFF CIR STE 6000, ATLANTA, GA 30322-0001
(404) 727-5004
Mailing address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(404) 350-7323
(404) 350-7694
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
052072
GA
2084N0400X
Neurology Physician
Primary
52072
GA
Other
Enumeration date
09/09/2005
Last updated
01/31/2018
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