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1316543036
OCTAVIA HEAD
MCDONOUGH, GA
NPI
1316543036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
OCTAVIA HEAD RBT
382 RACETRACK RD
MCDONOUGH, GA 30252-1022
Phone number: 678-691-2206
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Mailing Address
OCTAVIA HEAD RBT
754 PINE NEEDLE RD
HAMPTON, GA 30228-1544
Phone number: 404-957-1698
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