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NPI Code Detail

MEDICARE: ANNE RICARDO GONZALEZ MD

MEDICARE: ANNE RICARDO GONZALEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician200300473NC
2207Q00000XFamily Medicine Physician200300473NC

General Provider Information

NPI Number : 1821030834
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE RICARDO GONZALEZ MD
Provider Business Mailing Address
First Line : 915 TATE BLVD SE
Second Line : STE 170
City : HICKORY
State : NC
Zip : 28602-4042
Country : US
Telephone Number : 828-345-0800
Fax Number : 828-345-0350
Provider Business Practice Location Address
First Line : 915 TATE BLVD SE
Second Line : STE 170
City : HICKORY
State : NC
Zip : 28602-4012
Country : US
Telephone Number : 828-345-0800
Fax Number : 828-345-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/21/2008

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Directions to “ ANNE RICARDO GONZALEZ MD” Practice Location

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