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1336775378
MARY ELLEN MIDDLETON FAIN
ATLANTA, GA
NPI
1336775378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-22
Last Update Date
2020-03-22
Business Address
MARY ELLEN MIDDLETON FAIN MD
49 JESSE HILL JR DR SE
ATLANTA, GA 30303-3049
Phone number: 706-414-2428
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Mailing Address
MARY ELLEN MIDDLETON FAIN MD
3101 BRANSFORD RD
AUGUSTA, GA 30909-3007
Phone number: 706-414-2428
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