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1245338110
EDWARD C. MACK
ATLANTA, GA
NPI
1245338110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 021754)
Enumeration Date
2006-09-21
Last Update Date
2011-09-07
Business Address
-- EDWARD C. MACK M.D.
315 BOULEVARD NE SUITE 444
ATLANTA, GA 30312-1200
Phone number: 404-420-0116
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Mailing Address
-- EDWARD C. MACK M.D.
P.O. BOX 370569
DECATUR, GA 30037
Phone number: 678-492-5985
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