Individual
ROY GILBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1185 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043-4435
(678) 591-7640
Mailing address
1185 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043-4435
(678) 591-7640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46541
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126005
BCBS
GA
05
—
G46541
—
SC
Enumeration date
10/03/2006
Last updated
07/08/2007
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