Individual
JUANMARCO GUTIERREZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE ST NE FL MOT10, ATLANTA, GA 30308-2247
(404) 778-3895
Mailing address
1365B CLIFTON RD NE STE 6200, ATLANTA, GA 30322-1013
(404) 778-3895
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
95642
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/16/2016
Last updated
06/15/2023
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