Individual
DANIELLE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
2840 ESTATES RD, MACON, GA 31216-6324
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN287009
GA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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