Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Mar 9, 2006
License(s)
52416 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1700 HOSPITAL SOUTH DR SUITE 409 | Austell, GA 30106-6810 | 770-732-9100 |
| MAILING | 805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES | Marietta, GA 30066-6340 |
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