Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUIS ALBERTO GOMEZ VACA, M.D.
ActiveDR. LUIS ALBERTO GOMEZ VACA, M.D. is a Dermatology healthcare provider located in DALTON, Georgia. NPI 1902197064 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DALTON, GA
Registration Details
- NPI Number
- 1902197064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2011 (15.330342495956 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
71695 (GA)11016108A (IN)
Practice Information
- Address
-
1107 MEMORIAL DR STE 201DALTON, GA, 307208662Browse GA providers · Browse ZIP 30720
- Phone
- 7062777311
- Fax
- 7062723512
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Family Medicine
Other Dermatology Providers in DALTON, GA
| Name | Credential | NPI |
|---|---|---|
| DAVID E RUIZ | MD | 1467491183 |
| DR. MARY ELIZABETH COLE | MD | 1821292301 |
| JANE S. CLARK | — | 1659530004 |
| MRS. JORDAN NIX RALSTON | P.A.-C | 1730624255 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.