Organization
RICHARD D. GONZALES, M.D., P.C.
Active
Other names
Archway Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D GONZALES M.D. (PRESIDENT)
(706) 253-3366
Entity
Organization
Contact information
Practice address
735 MARTIN RD, SUITE A, JASPER, GA 30143-8411
(706) 253-3366
(706) 253-2243
Mailing address
735 MARTIN RD, SUITE A, JASPER, GA 30143-8411
(706) 253-3366
(706) 253-2243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044925
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804251B
—
GA
Enumeration date
01/24/2007
Last updated
12/20/2007
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