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1104104686
PETER R JUNGBLUT
MARIETTA, GA
NPI
1104104686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 069056)
Enumeration Date
2011-08-01
Last Update Date
2019-10-09
Business Address
PETER R JUNGBLUT MD
3747 ROSWELL RD STE 216
MARIETTA, GA 30062
Phone number: 770-973-2272
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Mailing Address
PETER R JUNGBLUT MD
3747 ROSWELL RD STE 216
MARIETTA, GA 30062-6227
Phone number: 770-973-2272
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