Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Feb 1, 2007
License(s)
051009 (GA), 051009 (GA), 051009 (GA), 051009 (GA), 051009 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 677 CHURCH ST NE | Marietta, GA 30060-1101 | 770-794-0477 |
| MAILING | 531 ROSELANE ST NW STE 830 | Marietta, GA 30060-6979 | 770-794-0477 |
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