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1053395269
CHARLES DANIEL KERVIN
ATLANTA, GA
NPI
1053395269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 2342)
Enumeration Date
2005-12-01
Last Update Date
2010-03-16
Business Address
Mr. CHARLES DANIEL KERVIN AA-C
80 JESSE HILL JR DR SE ANESTHESIA DEPT.
ATLANTA, GA 30303-3031
Phone number: 404-616-5519
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Mailing Address
Mr. CHARLES DANIEL KERVIN AA-C
80 JESSE HILL JR DR SE ANESTHESIA DEPT.
ATLANTA, GA 30303-3031
Phone number: 404-616-5519
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