Individual
PHOEBE GATES THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
5405 MEMORIAL DR, SUITE D, STONE MOUNTAIN, GA 30083-3234
(404) 296-3800
(404) 297-8753
Mailing address
5405 MEMORIAL DR STE D, STONE MOUNTAIN, GA 30083-3236
(404) 296-3800
(404) 297-8753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53889
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175583131A
—
GA
Enumeration date
07/12/2005
Last updated
04/20/2009
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