Individual provider · Type 1 NPI
Gerardo Julian Soracco, MD
Military Health Care Provider · Atlanta, GA
NPI number
1235575325
Active
Practice location
4415 Northside Chase NW
Atlanta, GA 30327-3567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 11193 (GA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1235575325
Gerardo Julian Soracco, MD's National Provider Identifier is 1235575325, issued on May 15, 2013. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Atlanta, GA. The record was last updated on May 15, 2013.