Individual
KRISTIN M GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1657 N EXPRESSWAY, GRIFFIN, GA 30223-1276
(770) 228-2641
(770) 467-9764
Mailing address
1657 N EXPRESSWAY, GRIFFIN, GA 30223-1276
(770) 228-2641
(770) 467-9764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
068416
GA
207Q00000X
Family Medicine Physician
LL31799
SC
Other
Enumeration date
06/26/2009
Last updated
10/21/2020
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