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Contact Information

GARY E SIEGEL, MD
1700 MEDICAL WAY
SNELLVILLE, GA30078-2195
 Phone: 770-979-9996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GARY E SIEGEL · (Male)

NPI # 1548241151
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 06/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 036289
  • GA Medicaid 000543661G
  • GA Medicaid 000543661I
  • GA Other 050048443 RAILROAD MEDICARE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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