Individual
DR. GREGORY ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
265 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1625
(770) 487-6716
(770) 487-1232
Mailing address
1975 HIGHWAY 54 W., STE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000621
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000451756A
—
GA
01
—
202I489464
MEDICARE PTAN
GA
Enumeration date
06/08/2005
Last updated
12/03/2015
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