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Individual

DR. ADAM GREGORY DE LA GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1365B CLIFTON RD NE, ATLANTA, GA 30322-4003
(404) 778-2020
Mailing address
1365B CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-2020
(404) 778-4415

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
081784
GA
207W00000X
Ophthalmology Physician
26270
OK
207W00000X
Ophthalmology Physician
36592
IA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
081784
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0727560
IA
05
200197860A
OK
01
25275
WELLMARK BCBS
IA
Enumeration date
07/02/2006
Last updated
08/25/2025
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