Individual
DR. ALBERT GONZALEZ-ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 247-4114
(229) 245-9042
Mailing address
3024 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 247-4114
(229) 245-9042
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
048049
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000841904D
—
GA
Enumeration date
07/07/2005
Last updated
11/08/2012
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