Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 4, 2008
License(s)
41623 (KY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 720 WESTVIEW DR SW | Atlanta, GA 30310-1458 | 404-752-1875 |
| LOCATION | 720 WESTVIEW DR SW MOREHOUSE SCHOOL OF MEDICINE INC | Atlanta, GA 30310-1458 | 404-752-1875 |
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