Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Apr 25, 2011
License(s)
83924 (SC), 077927 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 148 BILL CARRUTH PKWY STE 120 | Hiram, GA 30141-3756 | 943-202-7010 |
| MAILING | 148 BILL CARRUTH PKWY STE 120 | Hiram, GA 30141-3756 | 943-202-7010 |
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