Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 2, 2008
License(s)
p7239 (TX), p7239 (TX), p7239 (TX), 072212 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 745 POPLAR ROAD | Newnan, GA 30265-1618 | 770-400-1000 |
| LOCATION | 745 POPLAR ROAD | Newnan, GA 32605-1618 | 770-400-1000 |
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