| Kristin M Gore, MD | |
|
1657 N Expressway, Griffin, GA 30223-1276 | |
| (770) 228-2641 | |
| (770) 467-9764 |
| Full Name | Kristin M Gore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1657 N Expressway, Griffin, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831327923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LL31799 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 068416 (Georgia) | Primary |
| Entity Name | Next Level Medical Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750996070 PECOS PAC ID: 0547671984 Enrollment ID: O20201116002393 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin M Gore, MD 1657 N Expressway, Griffin, GA 30223-1276 Ph: (770) 228-2641 | Kristin M Gore, MD 1657 N Expressway, Griffin, GA 30223-1276 Ph: (770) 228-2641 |
Mr. Kenneth Dale Autry, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 726 S 8th St, Griffin, GA 30224 Phone: 770-228-2273 | |
Vicki Lyndall Van, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 S Hill St, Griffin, GA 30224 Phone: 770-228-5407 | |
Mrs. Ashley Newby Finney, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 Holliday Pass, Griffin, GA 30223 Phone: 678-588-3099 | |
David Anthony De La Sierra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 S 8th St, Griffin, GA 30224 Phone: 770-467-1224 Fax: 770-467-1225 | |
Kyong Rok Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 | |
Dr. Turner Mckay Grogan, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 509 N Expressway, Griffin, GA 30223 Phone: 943-202-7790 Fax: 470-986-7152 | |
James Gore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1657 N Expressway, Griffin, GA 30223 Phone: 770-228-2641 Fax: 770-467-9764 |