Dr. Neil S Gladstone
Gynecologist
81 Upper Riverdale Rd Suite 210
Riverdale
, Georgia 30274-2627
Dr. Neil S Gladstone
Gynecologist
81 Upper Riverdale Rd Suite 210
Riverdale
, Georgia 30274-2627
(770) 907-7492
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Neil S Gladstone
- Po Box 962380
- Riverdale, GA
- Zip : 30296-6921
- Fax : (770) 907-7492
- Phone : (770) 996-1200
Second Address
- Dr. Neil S Gladstone
- 81 Upper Riverdale Rd Suite 210
- Riverdale, GA
- Zip : 30274-2627
- Fax : (770) 907-7492
- Phone : (770) 996-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 016917 | GA |
National Provider Identifier
| NPI | 1073697801 |
|---|---|
| Provider Name | Dr. Neil S Gladstone |
| First Address | Riverdale, GA 30296-6921 |
| Second Address | Riverdale, GA 30274-2627 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 05/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00113759B | (05) | GA |
| D29569 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.