Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Aug 1, 2006
License(s)
52052 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1232 JOHNSON FERRY RD | Marietta, GA 30068-2776 | 678-213-2220 |
| LOCATION | 1232 JOHNSON FERRY RD | Marietta, GA 30068-2776 | 678-213-2220 |
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