Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 11, 2016
License(s)
080254 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6115 PEACHTREE DUNWOODY RD STE 350 | Atlanta, GA 30328-5699 | 678-320-3610 |
| MAILING | 6115 PEACHTREE DUNWOODY RD STE 350 | Atlanta, GA 30328-5699 | 678-320-3610 |
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