Gomez Vaca, Luis Alberto
Gomez Vaca, Luis Alberto is an individual health care provider with primary practice located at 1107 Memorial Dr Ste 201 , Dalton GA 30720-8662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gomez Vaca, Luis Alberto can be contacted via phone (706) 277-7311.Contact Information
Primary practice address
1107 Memorial Dr Ste 201
Dalton GA 30720-8662
Phone: (706) 277-7311
Fax: (706) 272-3512
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 71695 | Georgia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11016108A | Indiana |
Profile Details
NPI number | 1902197064 |
---|---|
LBN Legal business name | Gomez Vaca, Luis Alberto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2011 |
Last updated | Nov 27th, 2023 - about last year |
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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