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1023578234
CALEB BA MENDOZA
COVINGTON, GA
NPI
1023578234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 100229)
Enumeration Date
2019-03-22
Last Update Date
2024-06-29
Business Address
CALEB BA MENDOZA DO
4181 HOSPITAL DR NE STE 303
COVINGTON, GA 30014-2541
Phone number: 770-787-6957
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Mailing Address
CALEB BA MENDOZA DO
1888 HOLLYWOOD RD NW UNIT 6404
ATLANTA, GA 30318-3687
Phone number: 832-287-7133
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