Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Dec 20, 2007
License(s)
063829 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 950 BATTERY AVE SE STE 1216 | Atlanta, GA 30339-3094 | 888-663-6331 |
| MAILING | 1570 HOLCOMB BRIDGE RD | Roswell, GA 30076-4703 | 404-855-2242 |
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