Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Oct 17, 2006
License(s)
014158 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 993 JOHNSON FERRY RD NE # C STE. 100 | Atlanta, GA 30342-1620 | 404-256-4731 |
| LOCATION | 993 JOHNSON FERRY RD NE # C STE. 100 | Atlanta, GA 30342-1620 | 404-256-4731 |
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