Individual
EDWIN ENRIQUE VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 HISTORIC HWY 441-N, DEMOREST, GA 30535-4528
(770) 219-7078
(770) 219-7365
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
066663
GA
208M00000X
Hospitalist Physician
066663
GA
208M00000X
Hospitalist Physician
Primary
63221
TN
Other
Enumeration date
05/28/2008
Last updated
02/24/2021
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