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NPI Code Detail

MEDICARE: GREGG SOIFER, MD, LLC

MEDICARE: GREGG SOIFER, MD, LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1457088833
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREGG SOIFER, MD, LLC
Provider Business Mailing Address
First Line : PO BOX 678402
Second Line :
City : DALLAS
State : TX
Zip : 75267-8402
Country : US
Telephone Number : 817-284-9850
Fax Number :
Provider Business Practice Location Address
First Line : 1165 SANDERS RD
Second Line :
City : CUMMING
State : GA
Zip : 30041-5965
Country : US
Telephone Number : 470-533-4200
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : GREGG ADAM SOIFER
Credential : MD
Telephone Number : 817-284-9850
Provider Enumeration Date : 08/04/2022
Last Update Date : 10/13/2022

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Directions to “GREGG SOIFER, MD, LLC ” Practice Location

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