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1104084409
MEDICAL CONSULTANTS OF SOUTHEAST
FAYETTEVILLE, GA
NPI
1104084409
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Entity Type
Organization
Authorized Contact
JOSEPH W. WILLIAMS
President
404-556-1114
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: GA 013102)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
MEDICAL CONSULTANTS OF SOUTHEAST
1415 HIGHWAY 85 N SUITE 310-384
FAYETTEVILLE, GA 30214-4035
Phone number: 404-556-1114
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Mailing Address
MEDICAL CONSULTANTS OF SOUTHEAST
1415 HIGHWAY 85 N SUITE 310-384
FAYETTEVILLE, GA 30214-4035
Phone number: 404-556-1114
Copy
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