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Search › Georgia › 2080N0001X

Gonzalo Mantilla, M.D

NPI 1629076799 · on the registry since 2005

Practice

Address
777 Franklin Gtwy Se
Marietta, GA 30067
Phone
(770) 732-6007
Organisation at this address
Nnokp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia