Individual
JUAN MANUEL REVUELTA BARBERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1120 15TH ST # BI3088, AUGUSTA, GA 30912-0004
(706) 721-7124
Mailing address
1120 15TH ST # BI3088, AUGUSTA, GA 30912-0004
(706) 721-7124
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13873
GA
Other
Enumeration date
06/08/2022
Last updated
04/17/2023
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