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Individual

JUAN CARLOS MARTINEZ GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 HOSPITAL BLVD STE 310, ROSWELL, GA 30076-4947
(770) 664-9600
(770) 664-9856
Mailing address
2500 HOSPITAL BLVD STE 310, ROSWELL, GA 30076-4947
(770) 664-9600
(770) 664-9856

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
96832
GA
2084N0400X
Neurology Physician
S9028
TX
390200000X
Student in an Organized Health Care Education/Training Program
268195
MA

Other

Enumeration date
07/11/2016
Last updated
12/14/2023
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