Individual
ANTONIO J GOMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2615
(770) 994-9326
(770) 994-4747
Mailing address
235 PEACHTREE ST., NE, NORTH TOWER, SUITE 2100, ATLANTA, GA 30303-1405
(770) 994-9326
(770) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3486
GA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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