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1184171308
LORENZO ERIC BETHEA
CANTON, GA
NPI
1184171308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: GA PHH004103)
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
DR. LORENZO ERIC BETHEA PHARMD
201 HOSPITAL RD
CANTON, GA 30114-2408
Phone number: 770-720-5100
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Mailing Address
DR. LORENZO ERIC BETHEA PHARMD
105 DUNLAVIN DR NW
ACWORTH, GA 30102-2499
Phone number: 770-975-8310
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