Villalobos, Gonzalo

Villalobos, Gonzalo is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Villalobos, Gonzalo can be contacted via phone (770) 536-2146.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 536-2146
Fax: (770) 536-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 043143 Georgia

Profile Details

NPI number 1881673796
LBN Legal business name Villalobos, Gonzalo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Apr 5th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881673796 NPPES
Georgia MEDICAID 000742563J
Georgia Other 000742563N
Georgia Other 93BFDXR
Georgia MEDICAID 000742563K
Georgia MEDICAID 000742563M

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