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1194448225
LANCE MICKEL CRAIG
COLUMBUS, GA
NPI
1194448225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 11167)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
LANCE MICKEL CRAIG
5450 WHITTLESEY BLVD
COLUMBUS, GA 31909-2139
Phone number: 762-524-7379
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Mailing Address
LANCE MICKEL CRAIG
5450 WHITTLESEY BLVD
COLUMBUS, GA 31909-2139
Phone number:
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