Individual
NICOLE ALICIA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-4780
(336) 718-8941
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 474-4780
(336) 718-8941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111874
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2019-02329
NC
207RP1001X
Pulmonary Disease Physician
Primary
2019-02329
NC
Other
Enumeration date
03/15/2010
Last updated
05/29/2024
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