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Dr. Juan Daniel Mendoza, MD
Diagnostic Radiology Physician in Fort Moore, Georgia
NPI 1083148126

Juan Daniel Mendoza is a Diagnostic Radiology Physician based in Columbus, GA and is specialized in Diagnostic Radiology. Juan Daniel Mendoza practices in Fort Moore, GA and has the professional credentials of MD. The NPI Number for Juan Daniel Mendoza is 1083148126 and holds a License No. 31009 (Georgia).

The current practice location address for Juan Daniel Mendoza is 6600 Van Aalst Blvd, Fort Moore, GA and can be reached out via phone at 762-408-2001 and via fax at 762-408-2054.

Location: 6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083148126
Provider Name
Juan Daniel Mendoza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Phone Number
762-408-2001
Fax Number
762-408-2054
Provider Enumeration Date
04/15/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-2001
Fax Number
762-408-2054
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-2001
Fax Number
762-408-2054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
31009 (Nebraska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
31009 (Nebraska)
Definition
Definition to come...
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