Registry details
Type
Individual
Primary specialty
Internal Medicine, Interventional Cardiology
Enumerated
Jul 24, 2006
License(s)
4301078954 (MI), 068877 (GA), 068877 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1468 MONTREAL RD | Tucker, GA 30084-6901 | 770-638-1400 |
| LOCATION | 1468 MONTREAL RD | Tucker, GA 30084-6901 | 770-638-1400 |
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