Gaitan Rueda, Juan Israel

Gaitan Rueda, Juan Israel is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gaitan Rueda, Juan Israel can be contacted via phone (404) 367-3014.

Contact Information

Primary practice address
1255 Highway 54 W Fayetteville GA 30214-4526
Phone: (404) 367-3014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 076716 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 076716 Georgia

Profile Details

NPI number 1720241094
LBN Legal business name Gaitan Rueda, Juan Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jan 2nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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