Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Sep 3, 2006
License(s)
044661 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4485 S COBB DR SE STE 100 | Smyrna, GA 30080-6957 | 404-768-1133 |
| MAILING | 4485 S COBB DR SE STE 100 | Smyrna, GA 30080-6957 | 404-768-1133 |
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