Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Aug 27, 2012
License(s)
005650 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1790 MULKEY RD STE 5A | Austell, GA 30106-1122 | 404-265-1044 |
| MAILING | 1790 MULKEY RD STE 5A | Austell, GA 30106-1122 | 404-265-1044 |
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