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1124011085
MATTHEW B GRUNDFAST
DUBLIN, GA
NPI
1124011085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: GA 052944)
Enumeration Date
2005-08-25
Last Update Date
2022-05-25
Business Address
MATTHEW B GRUNDFAST D.O.
111 FAIRVIEW PARK DR
DUBLIN, GA 31021-2501
Phone number: 478-277-1929
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Mailing Address
MATTHEW B GRUNDFAST D.O.
130 E WESTERLEE DR
LEESBURG, GA 31763-5817
Phone number: 229-886-5150
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