EDWIN ENRIQUE VILLARREAL

DEMOREST, GA
NPI1447418397
Other NameEDWIN VILLARREAL MAZZILLI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: TN  63221)
Additional Taxonomies207R00000X Internal Medicine
(Licence: GA  066663)
208M00000X Hospitalist
(Licence: GA  066663)
Enumeration Date2008-05-28
Last Update Date2021-02-24
Business Address
EDWIN ENRIQUE VILLARREAL MD
541 HISTORIC HWY 441-N
DEMOREST, GA 30535-4528
Phone number: 770-219-7078
Mailing Address
EDWIN ENRIQUE VILLARREAL MD
PO BOX 658
GAINESVILLE, GA 30503-0658
Phone number: 770-718-1122