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FRANCISCO EMILIO GONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2212 OLD FURANCE ROAD, SPARTANBURG, SC 29303
(864) 578-9735
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827
(864) 253-8080
(864) 582-5188

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11419
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114192
SC
01
P00423927
MEDICARE RAILROAD PTAN
GA
Enumeration date
05/19/2006
Last updated
10/30/2008
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