Healthcare Provider Details

I. General information

NPI: 1689080236
Provider Name (Legal Business Name): GIAN PAOLO GIULIARI GONZALEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: GIAN PAOLO GIULIARI

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4676 DOUGLAS CIR NW
CANTON OH
44718-3619
US

IV. Provider business mailing address

5505 PEACHTREE DUNWOODY RD STE 300
ATLANTA GA
30342-1713
US

V. Phone/Fax

Practice location:
  • Phone: 330-494-1116
  • Fax:
Mailing address:
  • Phone: 404-257-0814
  • Fax: 404-843-8521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35.134506
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number92227
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD491035
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: