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1326023938
MICHAEL D FUNDERBURK
SNELLVILLE, GA
NPI
1326023938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: GA 34138)
Additional Taxonomies
208800000X Urology
(Licence: GA 034138)
Enumeration Date
2005-12-07
Last Update Date
2019-12-12
Business Address
Dr. MICHAEL D FUNDERBURK MD
1557 JANMAR RD
SNELLVILLE, GA 30078-5686
Phone number: 678-344-8900
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Mailing Address
Dr. MICHAEL D FUNDERBURK MD
1557 JANMAR RD
SNELLVILLE, GA 30078-5686
Phone number: 678-344-8900
Copy
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