Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Jan 30, 2008
License(s)
055167 (GA), 055167 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 800 1ST ST SUITE 410 | Macon, GA 31201-8300 | 478-743-7068 |
| MAILING | 2306 GARDEN PARK DR SE | Smyrna, GA 30080-6309 | 404-403-3884 |
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