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1023230422
MCINTOSH TRAIL FAMILY PRACTICE
GRIFFIN, GA
NPI
1023230422
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Entity Type
Organization
Authorized Contact
DAVID A VAN
Owner
770-228-5407
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 029545)
Enumeration Date
2007-05-03
Last Update Date
2010-01-07
Business Address
MCINTOSH TRAIL FAMILY PRACTICE
747 S HILL ST
GRIFFIN, GA 30224-4830
Phone number: 770-228-5407
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Mailing Address
MCINTOSH TRAIL FAMILY PRACTICE
747 S HILL ST
GRIFFIN, GA 30224-4830
Phone number: 770-228-5407
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