Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 5, 2022
License(s)
104046 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4300 N POINT PKWY STE 300 | Alpharetta, GA 30022-4102 | 770-442-1911 |
| LOCATION | 105 CARNEGIE PL | Fayetteville, GA 30214-3980 | 770-716-7999 |
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