Organization
DREAM BREAST CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYLAND J GORE MD (OWNER)
(404) 519-4578
Entity
Organization
Contact information
Practice address
2275 MARIETTA BLVD NW STE 270-317, ATLANTA, GA 30318-2004
(404) 519-4578
Mailing address
2275 MARIETTA BLVD NW STE 270-317, ATLANTA, GA 30318-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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