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1023143393
FEODERIS N BASILIO
COLUMBUS, GA
NPI
1023143393
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Other Name
FEODERIS BASILIO SEBERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics Adolescent Medicine
(Licence: GA 050092)
Enumeration Date
2007-02-23
Last Update Date
2011-06-30
Business Address
FEODERIS N BASILIO MD
104 14TH ST
COLUMBUS, GA 31901-2131
Phone number: 706-507-5437
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Mailing Address
FEODERIS N BASILIO MD
104 14TH ST
COLUMBUS, GA 31901-2131
Phone number: 706-507-5437
Copy
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