Individual
DR. KETTY M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1916 N LEG RD, AUGUSTA, GA 30909-4402
(706) 667-4265
(706) 667-4301
Mailing address
1916 N LEG RD, AUGUSTA, GA 30909-4402
(706) 667-4265
(706) 667-4301
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
026280
GA
Other
Enumeration date
04/25/2007
Last updated
11/03/2015
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