Individual
DR. EVANGELIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 DALLAS HWY, STE 101, VILLA RICA, GA 30180-1247
(770) 456-4411
(770) 812-3582
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016234
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00191496A
—
GA
Enumeration date
02/15/2006
Last updated
03/07/2023
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