Individual
GERMAN RENE GONZALEZ RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVENUE, FORT STEWART, GA 31314-5611
(912) 435-5555
Mailing address
1061 HARMON AVENUE, FORT STEWART, GA 31314-5611
(912) 435-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11976
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80279GO
SSS PROVIDER NUMBER
PR
Enumeration date
12/06/2005
Last updated
02/12/2019
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