Individual
DR. MIKHAIL GOROKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2910 N DRUID HILLS RD NE, STE A, ATLANTA, GA 30329-3919
(404) 320-6050
Mailing address
2012 HAROBI DR, STE B, TUCKER, GA 30084-5161
(404) 320-6050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039353
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00662219E
—
GA
Enumeration date
08/25/2006
Last updated
10/22/2013
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