Registry details
Type
Organization
Primary specialty
Anesthesiology
Enumerated
Oct 28, 2005
License(s)
208VP0000X (GA), 367500000X (GA), 367H00000X (GA), 207L00000X (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5126 HOSPITAL DR NE | Covington, GA 30014-2566 | 770-478-9877 |
| MAILING | 405 ARROWHEAD BLVD SUITE C | Jonesboro, GA 30236-1254 | 770-478-9877 |
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