Villalon-Gomez, Jose Manuel

Villalon-Gomez, Jose Manuel is an individual health care provider with primary practice located at 4500 N Shallowford Rd , Dunwoody GA 30338-6476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Villalon-Gomez, Jose Manuel can be contacted via phone (404) 778-6920.

Contact Information

Primary practice address
4500 N Shallowford Rd Dunwoody GA 30338-6476
Phone: (404) 778-6920
Fax: (404) 778-6901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 246442 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME103333 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 066097 Georgia

Profile Details

NPI number 1528219813
LBN Legal business name Villalon-Gomez, Jose Manuel
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2008
Last updated Feb 2nd, 2023 - about 2 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 1528219813 NPPES
Georgia MEDICAID 003109624A

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