ROGER GARY WELLBORN

CARROLLTON, GA
NPI1417051152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  21441)
Enumeration Date2006-09-12
Last Update Date2012-02-02
Business Address
-- ROGER GARY WELLBORN MD
624 DIXIE STREET
CARROLLTON, GA 30117-3817
Phone number: 770-832-9593
Mailing Address
-- ROGER GARY WELLBORN MD
624 DIXIE STREET
CARROLLTON, GA 30117-3817
Phone number: 770-832-9593
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