Individual
DR. JOHN P GORECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, SUITE 310, CUMMING, GA 30041-6012
(678) 730-7796
(678) 730-7786
Mailing address
33 BUFORD VILLAGE WAY, SUITE 325, BUFORD, GA 30518-8843
(678) 730-7796
(678) 730-7786
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0429019
KS
207T00000X
Neurological Surgery Physician
Primary
62853
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387000A
—
KS
05
—
372501099B
—
GA
Enumeration date
07/07/2005
Last updated
01/25/2024
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