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1205071552
DANIEL LEE MAXWELL
CARROLLTON, GA
NPI
1205071552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: GA 080787)
Enumeration Date
2008-12-15
Last Update Date
2018-10-04
Business Address
DANIEL LEE MAXWELL
150 CLINIC AVE STE 101
CARROLLTON, GA 30117-4402
Phone number: 770-834-0873
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Mailing Address
DANIEL LEE MAXWELL
150 CLINIC AVE STE 101
CARROLLTON, GA 30117-4402
Phone number: 770-834-0873
Copy
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