Individual
DR. DESIREE VILLADOLID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 OLD ALABAMA RD, ROSWELL, GA 30076-2273
(305) 965-3374
Mailing address
784 PONCE DE LEON PL NE APT 417, ATLANTA, GA 30306-4157
(305) 965-3374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
081094
GA
Other
Enumeration date
09/09/2014
Last updated
05/05/2020
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