Individual
DR. SAMUEL A. GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4791 S MAIN ST, ACWORTH, GA 30101-5324
(770) 422-1400
(770) 422-2340
Mailing address
4791 S MAIN ST, ACWORTH, GA 30101-5324
(770) 422-1400
(770) 422-2340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080092220
RAILROAD MEDICARE
GA
Enumeration date
10/19/2006
Last updated
08/26/2011
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