Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Feb 17, 2006
License(s)
55077 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2383 THIRD ST | Folkston, GA 31537-8917 | 912-496-1155 |
| LOCATION | 2383 THIRD ST | Folkston, GA 31537-8917 | 912-496-1155 |
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