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Individual

LAURA E GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5669 PEACHTREE DUNWOODY RD NE, SUITE 170, ATLANTA, GA 30342-1786
(404) 252-8377
(404) 201-6100
Mailing address
5669 PEACHTREE DUNWOODY RD NE, SUITE 170, ATLANTA, GA 30342-1786
(404) 252-8377
(404) 201-6100

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37549
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
996761956A
GA
Enumeration date
06/02/2006
Last updated
02/09/2011
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