Individual
ASHWINI PRABHAKAR GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
265 SHERATON BLVD, MACON, GA 31210
(478) 746-8626
(478) 746-0491
Mailing address
265 SHERATON BLVD, MACON, GA 31210
(478) 746-8626
(478) 746-0491
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
31585
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088939
HIGHMARK BLUE SHIELD
PA
01
—
2859838000
BCBS
PA
Enumeration date
07/25/2006
Last updated
06/06/2023
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