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Individual

DR. OSWALDO ANDRES HENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4441 ATLANTA RD SE STE 205, SMYRNA, GA 30080-6442
(770) 801-5020
(770) 435-6722
Mailing address
4441 ATLANTA RD SE STE 205, SMYRNA, GA 30080-6442
(770) 801-5020
(770) 435-6722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
002659
GA
174400000X
Specialist
Primary
70141
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
70141
GA

Other

Enumeration date
01/17/2008
Last updated
09/06/2023
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