RICHARD D. GONZALES, M.D., P.C.
Marriage and Family Therapists at Martin Rd, Big Canoe, GA

License number
Georgia 044925
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: RICHARD D GONZALES M.D.
Title: PRESIDENT
Phone: (706) 253-3366
Address
Address
735 Martin Rd SUITE A, Big Canoe, GA 30143
National Provider ID: 1295880565
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICHARD D. GONZALES, M.D., PC

Big Canoe, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Richard D. Gonzales, M.D., P.C
Registration:
Sep 4, 2001
Inactive since:
Sep 4, 2010
Addresses:
735 Martin Rd, Jasper, GA 30143 (Physical)
80 Fairview Rd, Big Canoe, GA 30143
State ID:
0140639
Business type:
Domestic Professional Corporation
Chief Executive Officers:
A Dorise House (CFO), 735 Martin Rd, Jasper, GA 30143 (Physical),Karen Austin (Secretary), 735 Martin Rd, Jasper, GA 30143 (Physical),D Richard Gonzales (CEO), 735 Martin Rd, Jasper, GA 30143 (Physical),...
Agent:
Dorise A House,45 Bobwhite Trl Canton Ga, Canton, GA 30115 (Physical)

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