Individual
DR. GERALD ALAN GOLDKLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 OLD NORTON RD, SUITE 200, FAYETTEVILLE, GA 30215-4872
(678) 817-1117
(678) 817-0823
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(678) 817-1117
(678) 817-0823
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
020714
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000188801AF
—
GA
05
—
000188801T
—
GA
05
—
000188801U
—
GA
Enumeration date
05/04/2006
Last updated
08/18/2020
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