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1285371617
DAVIS PRIDEAUX LAKEMAN
ATLANTA, GA
NPI
1285371617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 11098)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-05-17
Last Update Date
2022-08-26
Business Address
DAVIS PRIDEAUX LAKEMAN PA-S
275 COLLIER RD NW STE 300
ATLANTA, GA 30309-1740
Phone number: 404-352-3110
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Mailing Address
DAVIS PRIDEAUX LAKEMAN PA-S
56 MONTGOMERY ST SE
ATLANTA, GA 30317-1908
Phone number: 404-358-7387
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