Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jul 8, 2006
License(s)
18719 (MS)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 345 BAPTIST BLVD | Columbus, MS 39705 | 662-244-2288 |
| MAILING | P.O. BOX 405827 | Atlanta, GA 30384-5827 |
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