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1275860900
OCONEE PRIMARY CARE, L.L.C.
WATKINSVILLE, GA
NPI
1275860900
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Entity Type
Organization
Authorized Contact
KEN H PARK
Owner/Provider
404-759-6436
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 050049)
Enumeration Date
2009-11-18
Last Update Date
2009-11-18
Business Address
OCONEE PRIMARY CARE, L.L.C.
1624 MARS HILL RD SUITE B
WATKINSVILLE, GA 30677-4813
Phone number: 404-759-6436
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Mailing Address
OCONEE PRIMARY CARE, L.L.C.
1624 MARS HILL RD SUITE B
WATKINSVILLE, GA 30677-4813
Phone number: 404-759-6436
Copy
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