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Individual

ALDRICH VILLAMIN MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
251 HIGHWAY 53 E, CALHOUN, GA 30701-3026
(706) 625-4410
(706) 625-4447
Mailing address
PO BOX 1882, ROME, GA 30162
(706) 509-3000
(706) 509-4600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
062916
GA

Other

Enumeration date
03/04/2008
Last updated
05/04/2011
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