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1306280458
MID AMERICA GROUP OF GEORGIA PC
DECATUR, GA
NPI
1306280458
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Entity Type
Organization
Authorized Contact
JEWEL BERNADETTE SMITH
Owner
317-886-6639
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2013-04-19
Last Update Date
2014-03-19
Business Address
MID AMERICA GROUP OF GEORGIA PC
160 CLAIREMONT AVE STE 200
DECATUR, GA 30030-2546
Phone number: 317-886-6637
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Mailing Address
MID AMERICA GROUP OF GEORGIA PC
1499 WINDHORST WAY STE 100
GREENWOOD, IN 46143-8800
Phone number: 317-886-6639
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