Individual
DR. GARY ROBERT BOTSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2712 N DECATUR RD, DECATUR, GA 30033-5930
(404) 299-0187
(404) 292-2766
Mailing address
2712 N DECATUR RD, DECATUR, GA 30033-5930
(404) 299-0187
(404) 292-2766
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
022515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00252315B
—
GA
Enumeration date
05/31/2006
Last updated
02/28/2011
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