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1417441049
DIMITRI HADDAD
AUGUSTA, GA
NPI
1417441049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 010099)
Enumeration Date
2018-06-18
Last Update Date
2019-04-11
Business Address
DIMITRI HADDAD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 703-969-3136
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Mailing Address
DIMITRI HADDAD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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