Most Relevant Information
Provider Data
| NPI Number: | 1003800665 |
| Provider Name: | RUSSELL GORE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2083A0100X |
| Specialty: | Preventive Medicine |
| License Number: | 052072 |
Most Important Dates
| Enumeration Date: | 09/09/2005 |
| Last Updated: | 01/31/2018 |
Provider Practice Location
101 WOODRUFF CIR STE 6000
ATLANTA
GA
303220001
Practice Location Phone/Fax
| Phone: | 4047275004 |
| Fax: |
Provider Mailing Location
2020 PEACHTREE RD NW
ATLANTA
GA
303091426
Provider Mailing Phone/Fax
| Phone: | 4043507323 |
| Fax: | 4043507694 |