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1154398402
ROGER PETER THEODORE
MACON, GA
NPI
1154398402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA 000753)
Enumeration Date
2006-03-07
Last Update Date
2024-08-22
Business Address
Dr. ROGER PETER THEODORE DPM
407 BARRINGTON PT
MACON, GA 31220-8754
Phone number: 478-390-2178
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Mailing Address
Dr. ROGER PETER THEODORE DPM
841 MULBERRY ST
MACON, GA 31201
Phone number: 478-741-1192
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