Registry details
Type
Individual
Primary specialty
Internal Medicine, Rheumatology
Enumerated
Oct 10, 2005
License(s)
045683 (GA), 045683 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 670 NORTH AVE NW | Marietta, GA 30060-1100 | 770-590-8328 |
| LOCATION | 670 NORTH AVE NW | Marietta, GA 30060-1127 | 770-590-8328 |
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