Richard D. Gonzales, M.d., P.c.

NPI #1295880565 in Jasper, Georgia

Provider Information

NPI Number
1295880565
Entity Type
Organization
Organization Name
Richard D. Gonzales, M.d., P.c.
Primary Specialty
Family Medicine
Enumeration Date
Jan 24, 2007
Last Updated
Dec 20, 2007

Practice Location

Address
735 MARTIN RD
Address 2
SUITE A
City
Jasper
State
Georgia
ZIP Code
30143-8411
Phone
(706) 253-3366

Authorized Official

Name
RICHARD D GONZALES, M.D.
Title
PRESIDENT
Phone
(706) 253-3366

Specialties & Taxonomy Codes

Specialty
Family Medicine

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