Individual
GERARDO GONZALEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-2045
(252) 744-3525
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-01061
NC
207R00000X
Internal Medicine Physician
34884-R
PR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2022-01061
NC
Other
Enumeration date
06/08/2018
Last updated
02/12/2024
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