Search › Georgia › 208M00000X
Jose Lara Gonzalez, M.D
NPI 1972036200 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1400 River Pl
Braselton, GA 30517 - Phone
- (770) 848-8000
- Clinicians at this address
- 44
Additional practice sites
- 4700 Waters Ave, Savannah, GA
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-08
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