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1255989794
GEORGIA STARS MEDICAL CLINIC, LLC
LAGRANGE, GA
NPI
1255989794
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Entity Type
Organization
Authorized Contact
QUOC VINH NGO
Owner
706-885-1900
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
GEORGIA STARS MEDICAL CLINIC, LLC
142 OLD MILL RD
LAGRANGE, GA 30241-6704
Phone number: 706-885-1900
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Mailing Address
GEORGIA STARS MEDICAL CLINIC, LLC
142 OLD MILL RD
LAGRANGE, GA 30241-6704
Phone number: 706-885-1900
Copy
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