Individual
DR. GONZALO MANUEL PRADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3369 BUFORD HWY NE, SUITE 830 B, ATLANTA, GA 30329-3722
(404) 966-3477
Mailing address
250 MONTROSE DR, MCDONOUGH, GA 30253-4242
(404) 966-3477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006475
GA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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