Gladstone, Neil S

Gladstone, Neil S is an sole proprietor health care provider with primary practice located at 81 Upper Riverdale Rd Suite 210, Riverdale GA 30274-2627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Gladstone, Neil S can be contacted via phone (770) 996-1200.

Contact Information

Primary practice address
81 Upper Riverdale Rd Suite 210 Riverdale GA 30274-2627
Phone: (770) 996-1200
Fax: (770) 907-7492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 016917 Georgia

Profile Details

NPI number 1073697801
LBN Legal business name Gladstone, Neil S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Sep 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073697801 NPPES
Georgia MEDICAID 00113759B

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