Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Sep 16, 2005
License(s)
045686 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2041 MESA VALLEY WAY SUITE 100 | Austell, GA 30106-8157 | 770-944-1100 |
| LOCATION | 2041 MESA VALLEY WAY SUITE 100 | Austell, GA 30106-8157 | 770-944-1100 |
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