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Individual

DR. ERIC VERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
403 PERMIAN WAY, SUITE A, VILLA RICA, GA 30180-3252
(770) 771-5235
(770) 771-5236
Mailing address
PO BOX 1615, VILLA RICA, GA 30180-6409
(770) 771-5235
(770) 771-5236

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052389
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
567552367G
GA
Enumeration date
02/17/2006
Last updated
02/11/2011
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