Individual provider · Type 1 NPI

Juan Daniel Mendoza, MD

Diagnostic Radiology Physician · Fort Moore, GA

NPI number 1083148126 Active

Practice location

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102

Fax (762) 408-2054

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X31009 (NE)
Diagnostic Radiology Physician Primary 2085R0202X31009 (NE)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1083148126

Juan Daniel Mendoza, MD's National Provider Identifier is 1083148126, issued on Apr 15, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Moore, GA. The record was last updated on Jul 10, 2024.