Individual
GARY KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 GLYNCO PKWY, 3RD FLOOR, BRUNSWICK, GA 31525-7921
(912) 267-6886
(912) 262-0112
Mailing address
1111 GLYNCO PARKWAY, 3RD FLOOR, BRUNSWICK, GA 31525
(912) 262-6552
(912) 262-0112
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
026571
GA
208VP0000X
Pain Medicine Physician
026571
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
026571
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00145647
RAILROAD
GA
Enumeration date
10/06/2006
Last updated
05/29/2013
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