Provider Demographics
NPI:1417913815
Name:CABRERA, GREG ROY (MD)
Entity Type:Individual
Prefix:MR
First Name:GREG
Middle Name:ROY
Last Name:CABRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3180 NORTH POINT PKWY, SUITE 410
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-664-0088
Mailing Address - Fax:770-664-8228
Practice Address - Street 1:3180 NORTH POINT PKWY, SUITE 410
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-664-0088
Practice Address - Fax:770-664-8228
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA042025208000000X
GA42025208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics