Individual
DAVID R VILLASANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 CANTON RD NE, SUITE 210, MARIETTA, GA 30060-8948
(770) 426-3977
(770) 421-8567
Mailing address
711 CANTON RD NE, SUITE 210, MARIETTA, GA 30060-8948
(770) 426-3977
(770) 421-8567
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
034973
GA
2085N0700X
Neuroradiology Physician
034973
GA
Other
Enumeration date
06/02/2006
Last updated
11/04/2008
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