Provider Demographics
NPI:1982918678
Name:VAZQUEZ-FIGUEROA, JESUS GUSTAVO (MD)
Entity Type:Individual
Prefix:MR
First Name:JESUS
Middle Name:GUSTAVO
Last Name:VAZQUEZ-FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7887 ROSWELL RD STE B
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4829
Mailing Address - Country:US
Mailing Address - Phone:770-910-2377
Mailing Address - Fax:
Practice Address - Street 1:7887 ROSWELL RD STE B
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-4829
Practice Address - Country:US
Practice Address - Phone:404-635-6644
Practice Address - Fax:404-601-5447
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA077220207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine