Provider Demographics
NPI:1821087875
Name:ABAD, GREGORIO A (MD)
Entity Type:Individual
Prefix:
First Name:GREGORIO
Middle Name:A
Last Name:ABAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2406 BELLEVUE RD
Mailing Address - Street 2:ERIN OFFICE PARK #14
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021
Mailing Address - Country:US
Mailing Address - Phone:478-272-5555
Mailing Address - Fax:478-272-5540
Practice Address - Street 1:2406 BELLEVUE RD
Practice Address - Street 2:ERIN OFFICE PARK #14
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021
Practice Address - Country:US
Practice Address - Phone:478-272-5555
Practice Address - Fax:478-272-5540
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2007-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA50121208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00919289BMedicaid
GA00919289BMedicaid
GA25BBGBNMedicare PIN