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Individual

DR. GREGG ADAM SOIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1165 SANDERS RD, CUMMING, GA 30041-5965
(800) 324-4777
Mailing address
PO BOX 678402, DALLAS, TX 75267-8402
(817) 284-9850
(817) 284-9859

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
88962
GA
208100000X
Physical Medicine & Rehabilitation Physician
31798
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
88962
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11378617
CAQH
AL
Enumeration date
02/06/2006
Last updated
03/31/2025
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