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1144467739
MY GAY DOCTOR, P.C.
ATLANTA, GA
NPI
1144467739
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Entity Type
Organization
Authorized Contact
TRAVIS ROTH
Owner/President
404-634-6557
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 48962)
Enumeration Date
2009-01-19
Last Update Date
2009-01-19
Business Address
MY GAY DOCTOR, P.C.
1648 BERKELEY LN NE
ATLANTA, GA 30329-2731
Phone number: 404-634-6557
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Mailing Address
MY GAY DOCTOR, P.C.
1648 BERKELEY LN NE
ATLANTA, GA 30329-2731
Phone number: 404-634-6557
Copy
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