Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY GEORGE THEOFILIS, DO, MBA, DABAM
Active Sole ProprietorGARY GEORGE THEOFILIS, DO, MBA, DABAM is a Interventional Vascular Surgery healthcare provider located in CUMMING, Georgia. NPI 1558672014 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · CUMMING, GA
Registration Details
- NPI Number
- 1558672014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2010 (16.135405876366 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
OS01718 (PA)OS01718 (PA)74400 (GA)74400 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6125 BROADWATER TRLCUMMING, GA, 300409521Browse GA providers · Browse ZIP 30040
- Phone
- 4124774493
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Addiction Medicine (Anesthesiology)
Other Interventional Vascular Surgery Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PETER EDWARD FONG | M.D. | 1154312312 |
| DR. NAZARIO VILLASENOR JR. | MD | 1326241563 |
| RAMYA NAGARAJAN RANGARAJ | M.D. | 1184823650 |
| MIRANDA L REED | DO | 1659684231 |
| DR. COLIN J KRESS | DO | 1760896112 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.