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General NPI Number Information
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NPI Number | 1679911762
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Entity Type | Individual
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Provider Name | GORBY LEON MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 310 HOSPITAL DR STE 205
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City | MACON
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State | GA
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Zip | 31217-8025
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Country | US
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Telephone | 478-765-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 HWY 247 CONNECTOR STE A
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City | BYRON
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State | GA
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Zip | 31008-5663
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Country | US
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Telephone | 478-654-2350
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 074503
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License Number State | GA
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