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NPI Code Detail

MEDICARE: DANIEL GORE MD

MEDICARE: DANIEL GORE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician340775NY
2207R00000XInternal Medicine Physician100664GA

General Provider Information

NPI Number : 1093379489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GORE MD
Provider Business Mailing Address
First Line : 550 PEACHTREE ST NE
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 PEACHTREE ST NE
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2212
Country : US
Telephone Number : 404-686-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2019
Last Update Date : 05/28/2026

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Directions to “ DANIEL GORE MD” Practice Location

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