Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 27, 2007
License(s)
25408 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1870D INDEPENDENCE SQ STE D | Atlanta, GA 30338-5150 | 770-396-6190 |
| LOCATION | 1870 INDEPENDENCE SQ STE D | Atlanta, GA 30338-5155 | 770-904-6477 |
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