Individual
CALEB BA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4181 HOSPITAL DR NE STE 303, COVINGTON, GA 30014-2541
(770) 787-6957
Mailing address
1888 HOLLYWOOD RD NW UNIT 6404, ATLANTA, GA 30318-3687
(832) 287-7133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100229
GA
Other
Enumeration date
03/22/2019
Last updated
06/29/2024
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