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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL GLOYSTEIN M.D.

MEDICARE:  DR. DAVID MICHAEL GLOYSTEIN  M.D.
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
1207X00000XOrthopaedic Surgery Physician22952NE
2207XS0117XOrthopaedic Surgery of the Spine PhysicianN4431TX
3207XS0117XOrthopaedic Surgery of the Spine Physician71342GA

General Provider Information

NPI Number : 1619947413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL GLOYSTEIN M.D.
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : FORTSON
State : GA
Zip : 31808-0370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6262 VETERANS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3540
Country : US
Telephone Number : 706-494-3305
Fax Number : 706-494-3102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 08/01/2022

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Directions to “ DR. DAVID MICHAEL GLOYSTEIN M.D.” Practice Location

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