Organization
ALBERTO J. GONZALEZ MD
Active
Other names
Orangeburg Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L BOURGEOIS (OFFICE MANAGER)
(803) 534-0042
Entity
Organization
Contact information
Practice address
2323 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 534-0042
(803) 531-0676
Mailing address
PO BOX 749, ORANGEBURG, SC 29116-0749
(803) 534-0042
(803) 531-0676
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15347
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6287
—
SC
Enumeration date
07/17/2007
Last updated
11/07/2013
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