NPI 1235575325

Gerardo Julian Soracco, MD

Practitioner Military Health Care Provider Atlanta, GA

Practice location

Address: 4415 Northside Chase NW, Atlanta, GA 30327-3567
Phone: (404) 364-9017

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 11193 (GA)

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1235575325
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2013
Record last updated: 15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.