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Dr. Gonzalo Mantilla, MD
Neonatal-Perinatal Medicine Physician in Marietta, Georgia
NPI 1629076799

Gonzalo Mantilla is a Neonatal-Perinatal Medicine Physician based in Marietta, GA and is specialized in Neonatal-Perinatal Medicine. Gonzalo Mantilla practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Gonzalo Mantilla is 1629076799 and holds a License No. ME 22858 (Georgia).

The current practice location address for Gonzalo Mantilla is 777 Franklin Gtwy Se, Marietta, GA and can be reached out via phone at 770-732-6007.

Location: 777 Franklin Gtwy Se, Marietta, GA, 30067-7803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629076799
Provider Name
Gonzalo Mantilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Franklin Gtwy Se, Marietta, GA, 30067-7803
Phone Number
770-732-6007
Fax Number
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10926 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
777 Franklin Gtwy Se
City
Marietta
State
Georgia
Zip
30067-7803
Phone Number
770-732-6007
Fax Number
person
Provider Business Mailing Address Details
Address
777 Franklin Gtwy Se
City
Marietta
State
Georgia
Zip
30067-7803
Phone Number
770-732-6007
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
ME 22858 (Florida)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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