Individual
DR. HENRY FRED GOBER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 580, ATLANTA, GA 30342-1705
(404) 256-6336
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 580, ATLANTA, GA 30342-1705
(404) 256-6336
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
20432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4030890
AETNA MANAGED CHOICE
GA
01
—
468076
AETNA
GA
01
—
57715
USA HEALTH NETWORK
GA
01
—
662683
HEALTH FIRST
GA
01
—
ZZFS1020431
CHAMPUS
GA
Enumeration date
11/08/2006
Last updated
07/08/2007
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