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1154417277
DONALD E SALLY
LILBURN, GA
NPI
1154417277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 002071)
Enumeration Date
2006-10-05
Last Update Date
2016-03-23
Business Address
Mr. DONALD E SALLY PA
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047-2823
Phone number: 770-921-4811
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Mailing Address
Mr. DONALD E SALLY PA
4030 LAWRENCEVILLE HWY NW
LILBURN, GA 30047-3011
Phone number: 770-921-4811
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