Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 23, 2006
License(s)
36332 (GA), 036332 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 777 HEMLOCK ST | Macon, GA 31201-2102 | 478-331-1000 |
| MAILING | 784 SPRINGSIDE CT NE | Atlanta, GA 30342-3554 | 404-428-2694 |
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