Individual
REY V MEDINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5825 GLENRIDGE DR STE 130, ATLANTA, GA 30328-5387
(470) 213-9202
(470) 970-2008
Mailing address
5825 GLENRIDGE DR BLDG #3 SUITE 220, ATLANTA, GA 30328
(470) 213-9202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1154927325
GA
Other
Enumeration date
12/12/2022
Last updated
10/30/2023
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