Individual
DR. JOSE R VILLONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2406 MACY DR, ROSWELL, GA 30076-6343
(770) 331-0812
(770) 910-9040
Mailing address
2406 MACY DR, ROSWELL, GA 30076-6343
(770) 331-0812
(770) 910-9040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
GA042479
GA
Other
Enumeration date
02/06/2006
Last updated
09/22/2016
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