Individual
DR. GERARDO JULIAN SORACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4415 NORTHSIDE CHASE NW, ATLANTA, GA 30327-3567
(404) 364-9017
Mailing address
4415 NORTHSIDE CHASE NW, ATLANTA, GA 30327-3567
(404) 364-9017
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
11193
GA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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