Individual
GILBERT J. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 MEADOWS LN STE F, VIDALIA, GA 30474-7201
(912) 537-9481
(912) 537-1380
Mailing address
1707 MEADOWS LN STE F, VIDALIA, GA 30474-7201
(912) 537-9481
(912) 537-1380
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
026533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000419273D
—
GA
Enumeration date
08/24/2005
Last updated
02/01/2022
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