Individual
DELQUIS RAFAEL MENDOZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3970 ROGERS BRIDGE RD, DULUTH, GA 30097-2214
(404) 265-1579
Mailing address
3970 ROGERS BRIDGE RD, DULUTH, GA 30097-2214
(404) 673-4396
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
91891
GA
Other
Enumeration date
06/22/2015
Last updated
06/27/2023
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