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1104230366
NATHAN MICHAEL KALLER
CANTON, GA
NPI
1104230366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 70998)
Enumeration Date
2014-06-16
Last Update Date
2015-07-01
Business Address
Dr. NATHAN MICHAEL KALLER D.O.
3755 SIXES RD SUITE 202
CANTON, GA 30114-7842
Phone number: 770-720-1880
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Mailing Address
Dr. NATHAN MICHAEL KALLER D.O.
3755 SIXES RD SUITE 202
CANTON, GA 30114-7842
Phone number: 770-720-1880
Copy
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