NPI 1144467739

My Gay Doctor, P.C.

Organisation Emergency Medicine Physician Atlanta, GA

Practice location

Address: 1648 Berkeley Ln NE, Atlanta, GA 30329-2731
Phone: (404) 634-6557

Authorised official

Name: Travis Roth
Title: Owner/President
Phone: (404) 634-6557

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 48962 (GA)

Other Emergency Medicine providers in Georgia →

Registry record

NPI: 1144467739
Entity type: Organization
NPI issued: 19 Jan 2009
Record last updated: 19 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.