Organization
GILBERT J. GONZALEZ, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI HOOKS (OFFICE MANAGER)
(912) 537-9481
Entity
Organization
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD., SUITE 5, VIDALIA, GA 30474
(912) 537-9481
(912) 537-1380
Mailing address
303 HARRIS INDUSTRIAL BLVD., SUITE 5, VIDALIA, GA 30474
(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
—
00419273D
—
GA
Enumeration date
11/02/2006
Last updated
10/31/2007
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