Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Sep 7, 2005
License(s)
043834 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1775 ACCESS RD SUITE C | Covington, GA 30014-1987 | 770-255-0123 |
| LOCATION | 1775 ACCESS RD SUITE C | Covington, GA 30014-1987 | 770-255-0123 |
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