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1316978166
EDGAR WOLLAM
AUSTELL, GA
NPI
1316978166
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Other Name
GARY WOLLAM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: GA 19436)
Enumeration Date
2006-07-06
Last Update Date
2011-10-19
Business Address
-- EDGAR WOLLAM
1660 MULKEY RD STE B
AUSTELL, GA 30106
Phone number: 678-460-2700
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Mailing Address
-- EDGAR WOLLAM
1660 MULKEY RD STE B
AUSTELL, GA 30106
Phone number: 678-460-2700
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