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1447355086
CORLISS A RUPP
GRAYSON, GA
NPI
1447355086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA 049091)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- CORLISS A RUPP M.D.
1711 ATHENS HWY STE 500
GRAYSON, GA 30017-4210
Phone number: 770-982-2525
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Mailing Address
-- CORLISS A RUPP M.D.
2055C SCENIC HWY N # 187
SNELLVILLE, GA 30078-6105
Phone number: 770-982-2525
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