Provider Demographics
NPI:1760650196
Name:ALAN P. GERBER MD, INC
Entity Type:Organization
Organization Name:ALAN P. GERBER MD, INC
Other - Org Name:HAMILTON MILL WOMEN'S HEALTH SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-541-2001
Mailing Address - Street 1:2069 TERON TRCE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1665
Mailing Address - Country:US
Mailing Address - Phone:678-541-2001
Mailing Address - Fax:678-541-2009
Practice Address - Street 1:2069 TERON TRCE
Practice Address - Street 2:SUITE 300
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1665
Practice Address - Country:US
Practice Address - Phone:678-541-2001
Practice Address - Fax:678-541-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058672174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty