| Fred Dexter Gose, MD | |
|
1875 Mountain Creek Dr, Stone Mountain, GA 30087-1015 | |
| (770) 939-0778 | |
| (770) 938-6760 |
| Full Name | Fred Dexter Gose |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1875 Mountain Creek Dr, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598709826 | NPI | - | NPPES |
| 0003293480 | Medicaid | GA | |
| 941025 | Other | GA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 28557 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Dexter Gose, MD 1875 Mountain Creek Dr, Stone Mountain, GA 30087-1015 Ph: (770) 939-0778 | Fred Dexter Gose, MD 1875 Mountain Creek Dr, Stone Mountain, GA 30087-1015 Ph: (770) 939-0778 |
Edwige Goby Konwo-tayo, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1183 S Hairston Rd Ste A, Stone Mountain, GA 30088 Phone: 404-296-8858 | |
Abyalew T Sahlie, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4574 Stone Ln, Stone Mountain, GA 30083 Phone: 678-468-3356 |