Individual
GIRISH G PORE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3890 JOHNS CREEK PKWY, SUITE 250, SUWANEE, GA 30024-1284
(678) 775-0293
(678) 775-0297
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2208
(404) 888-7575
(404) 253-6896
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
56868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198491
BCBS
GA
01
—
7858986
CIGNA
GA
01
—
7975508
AETNA
GA
05
—
808199334A
—
GA
01
—
N24675
WELLCARE
GA
Enumeration date
07/10/2006
Last updated
03/07/2023
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