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1285268904
WINSTON DOUGLAS
MARIETTA, GA
NPI
1285268904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN216043)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
Mr. WINSTON DOUGLAS
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-422-2326
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Mailing Address
Mr. WINSTON DOUGLAS
677 CHURCH ST NE STE 100N
MARIETTA, GA 30060-1101
Phone number: 770-422-2326
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