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Contact Information

GILBERT J. GONZALEZ, M.D., LLC
303 HARRIS INDUSTRIAL BLVD.
SUITE 5
VIDALIA, GA30474
 Phone: 912-537-9481
 Fax: 912-537-1380
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GILBERT J GONZALEZ MD LLC · (Female)

NPI Number 1386723492
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2006
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 026533
  • GA Medicaid 00419273D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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