Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 20, 2006
License(s)
033014 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 804 13TH AVE | Albany, GA 31701 | 229-438-5864 |
| MAILING | PO BOX 72105 | Albany, GA 31708-2105 | 229-438-5864 |
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