Robert Everett De Gourville
M.D. | Pediatrics | Male
Robert Everett De Gourville, M.D. is a Atlanta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Robert Everett De Gourville is
777 Cleveland Ave Sw, #400, Atlanta, Georgia - 30315-7129. He can be contacted on phone at
404-766-3337.
Robert Everett De Gourville is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Everett De Gourville is
1598718744 which was assigned by NPPES on 18 May, 2006 and it was last updated on 25 Jul, 2008.
Robert Everett De Gourville license number is
034572 for Pediatrics (208000000X) in Georgia.
Robert Everett De Gourville is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert Everett De Gourville basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Robert Everett De Gourville |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Robert Everett De Gourville address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 777 Cleveland Ave Sw, #400
Atlanta, GA, 30315-7129
United States |
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| Phone Number : | 404-766-3337 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598718744 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 May, 2006 |
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| Last Updated On : | 25 Jul, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Everett De Gourville are as mentioned. Primary taxonomy code for Robert Everett De Gourville, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 034572 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Robert Everett De Gourville such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30833819D | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 777 Cleveland Ave Sw, #400
Atlanta, GA, 30315-7129
United States |
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| Phone Number : | 404-766-3337 |
|---|
Business Location:
Patients can refer following map for directions to
Robert Everett De Gourville practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.