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Individual

DR. ALIDA MARIA GERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 CORPORATE CENTER DR STE 200, MORROW, GA 30260
(770) 968-6464
Mailing address
1000 CORPORATE CENTER DR STE 200, MORROW, GA 30260-4129
(770) 968-6464

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60535969
WA
207Q00000X
Family Medicine Physician
Primary
83312
GA
207Q00000X
Family Medicine Physician
MD450619
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2045394
WA
Enumeration date
03/24/2011
Last updated
11/05/2019
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