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1952552945 NPI number — GREGORY ALVIN CUMBERBATCH MD

NPI Number: 1952552945
Health Care Provider/Practitioner: GREGORY ALVIN CUMBERBATCH MD

Information about “1952552945” NPI (GREGORY ALVIN CUMBERBATCH MD) exists in 1952552945 in HTML format HTML  |  1952552945 in plain Text format TXT  |  1952552945 in PDF (Portable Document Format) PDF  |  1952552945 in an XML format XML  formats.

NPI Number : 1952552945 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952552945",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUMBERBATCH",
    "FirstName": "GREGORY",
    "MiddleName": "ALVIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "805 SANDY PLAINS ROAD",
    "SecondLineMailingAddress": "MEDICAL STAFF SERVICES",
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30066-6340",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "285 BOULEVARD NE",
    "SecondLinePracticeLocationAddress": "SUITE 415",
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30312-4205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-265-4400",
    "PracticeLocationAddressFaxNumber": "404-265-4452",
    "EnumerationDate": "10/08/2008",
    "LastUpdateDate": "02/06/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207T00000X",
          "TaxonomyName": "Neurological Surgery Physician",
          "LicenseNumber": "066772",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207T00000X",
          "TaxonomyName": "Neurological Surgery Physician",
          "LicenseNumber": "ME117465",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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