Individual
DR. PAVEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-5500
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-5500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15028
GA
390200000X
Student in an Organized Health Care Education/Training Program
BP10081553
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/16/2022
Last updated
07/28/2023
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