| Gandolfo Enterprises, Inc | |
|
203 Woodpark Pl Bldg A Woodstock GA 30188-3705 | |
| (678) 640-0000 | |
| Not Available |
| Full Name | Gandolfo Enterprises, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 203 Woodpark Pl Bldg A, Woodstock, Georgia |
| Authorized Official Name and Position | Joseph Paul Gandolfo (PRESIDENT) |
| Authorized Official Contact | 6786400000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gandolfo Enterprises, Inc 203 Woodpark Pl Bldg A Woodstock GA 30188-3705 Ph: () - | Gandolfo Enterprises, Inc 203 Woodpark Pl Bldg A Woodstock GA 30188-3705 Ph: (678) 640-0000 |
| NPI Number | 1710633821 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710633821 | NPI | - | NPPES |
| 003261312A | Medicaid | GA |
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