Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Jan 30, 2007
License(s)
62640 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1600 CLIFTON RD NE MS E-10 | Atlanta, GA 30329-4018 | 404-639-6090 |
| LOCATION | 1600 CLIFTON RD NE MS E-10 | Atlanta, GA 30329-4018 | 404-639-6090 |
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