Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jun 22, 2009
License(s)
66979 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2124 CANDLER RD | Decatur, GA 30032-5572 | 404-836-0272 |
| MAILING | 2124 CANDLER RD | Decatur, GA 30032-5572 | 404-836-0272 |
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