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1043293467
MARK C ANKROM
SNELLVILLE, GA
NPI
1043293467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 001063)
Enumeration Date
2005-11-21
Last Update Date
2010-06-24
Business Address
-- MARK C ANKROM A.A.
1700 MEDICAL WAY
SNELLVILLE, GA 30078-2195
Phone number: 770-979-9996
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Mailing Address
-- MARK C ANKROM A.A.
PO BOX 3559
SUWANEE, GA 30024-0993
Phone number: 770-979-9996
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