Individual
CARL GONZALES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 SIGMAN RD NE, SUITE 130, CONYERS, GA 30012-3812
(678) 609-4927
(678) 609-4928
Mailing address
1301 SIGMAN RD NE, SUITE 130, CONYERS, GA 30012-3812
(678) 609-4927
(678) 609-4928
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
075179
GA
Other
Enumeration date
04/29/2010
Last updated
01/05/2016
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