Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Dec 27, 2006
License(s)
000225 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3438 LANTERN VIEW LN | Scottdale, GA 30079-6814 | 404-292-1305 |
| LOCATION | 1440 CLIFTON RD NE | Atlanta, GA 30322-1053 | 404-727-5658 |
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