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1497179121
BRIAN PALM
LAWRENCEVILLE, GA
NPI
1497179121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 007095)
Enumeration Date
2014-02-17
Last Update Date
2015-07-01
Business Address
-- BRIAN PALM PA-C
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-3356
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Mailing Address
-- BRIAN PALM PA-C
PO BOX 153
WOODSTOCK, GA 30188-0153
Phone number:
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