Individual
DR. LUIS ALBERTO GOMEZ VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 MEMORIAL DR STE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Mailing address
1107 MEMORIAL DR STE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71695
GA
207Q00000X
Family Medicine Physician
11016108A
IN
Other
Enumeration date
04/25/2011
Last updated
11/27/2023
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