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1407941131
JACK LEE SORG
CONYERS, GA
NPI
1407941131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: GA 016434)
Enumeration Date
2006-10-04
Last Update Date
2014-01-29
Business Address
Mr. JACK LEE SORG MD
1301 WELL BROOK CIRCLE
CONYERS, GA 30012-3873
Phone number: 770-922-3023
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Mailing Address
Mr. JACK LEE SORG MD
1301 WELLBROOK CIRCLE NE
CONYERS, GA 30012-3873
Phone number: 770-922-3023
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