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Dr. Ramon Dario Espinal

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ramon Dario Espinal
Gender: M
Provider License Number If Given: 52044

NPI Information:

NPI: 1851390363
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 9/18/2013

Provider Business Mailing Address:

Address: 4119 TATE ST NE
Covington, GA 30014
Phone Number: 7707843862
Fax Number: 7707845989

Provider Business Practice Location Address:

Address: 5303 ADAMS ST NE STE C
Covington, GA 30014
Phone Number: 6787298590
Fax Number: 6787298595

Provider Taxonomy:

Primary: 207LP2900X
Secondary (if any):
State: GA

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