Organization
CTV MEDICAL INC.
Active
Other names
Jose R Villongco, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R VILLONGCO M.D. (CEO)
(770) 331-0812
Entity
Organization
Contact information
Practice address
2406 MACY DR, ROSWELL, GA 30076-6343
(770) 331-0812
(770) 910-9040
Mailing address
2406 MACY DR, ROSWELL, GA 30076-6343
(770) 331-0812
(770) 910-9040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042479
GA
Other
Enumeration date
09/22/2016
Last updated
04/17/2017
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