Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 16, 2009
License(s)
076628 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 745 POPLAR RD | Newnan, GA 30265-1618 | 770-400-1000 |
| MAILING | 745 POPLAR RD | Newnan, GA 30265-1618 | 770-400-1000 |
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