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1205857307
JIM W RODERIQUE
ATLANTA, GA
NPI
1205857307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: GA 024075)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
Dr. JIM W RODERIQUE M.D.
955 SPRING ST NW
ATLANTA, GA 30309-3821
Phone number: 404-872-4263
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Mailing Address
Dr. JIM W RODERIQUE M.D.
955 SPRING ST NW
ATLANTA, GA 30309-3821
Phone number: 404-872-4263
Copy
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