Individual
DR. JOSE MANUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1650 MULKEY RD, AUSTELL, GA 30106-1186
(770) 745-5101
(770) 745-9740
Mailing address
900 CIRCLE 75 PKWY SE STE 900, ATLANTA, GA 30339-3084
(678) 427-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001285
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001285
GA
Other
Enumeration date
08/04/2015
Last updated
07/09/2019
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