Organization
GOLDEN GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA G STOREY M.D. (OWNER)
(914) 391-2873
Entity
Organization
Contact information
Practice address
632 VININGS ESTATES DR SE, MABLETON, GA 30126-5991
(914) 391-2873
Mailing address
632 VININGS ESTATES DR SE, MABLETON, GA 30126-5991
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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