Gonzaga, Maria Virginia

Gonzaga, Maria Virginia is an sole proprietor health care provider with primary practice located at 1900 10Th Ave Suite 300, Columbus GA 31901-3600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gonzaga, Maria Virginia can be contacted via phone (706) 341-3311.

Contact Information

Primary practice address
1900 10Th Ave Suite 300 Columbus GA 31901-3600
Phone: (706) 341-3311
Fax: (706) 341-3096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 70627 Georgia

Profile Details

NPI number 1730380916
LBN Legal business name Gonzaga, Maria Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Dec 26th, 2016 - about 10 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 1730380916 NPPES
Georgia Other 202I164305 MEDICARE PTAN

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