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Individual

EROL ONAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1485 JESSE JEWELL PKWY NE, SUITE 200, GAINESVILLE, GA 30501-3806
(770) 534-5255
(770) 287-3871
Mailing address
1485 JESSE JEWELL PKWY NE, SUITE 200, GAINESVILLE, GA 30501-3806
(770) 534-5255
(770) 287-3871

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051525
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000490949D
GA
05
00490949B
GA
Enumeration date
07/06/2006
Last updated
06/19/2012
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