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1528128162
VANCE W BODDY
DOUGLASVILLE, GA
NPI
1528128162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 049160)
Enumeration Date
2006-12-12
Last Update Date
2019-08-08
Business Address
VANCE W BODDY MD
6084 PROFESSIONAL PKWY STE C
DOUGLASVILLE, GA 30134-5612
Phone number: 770-942-1440
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Mailing Address
VANCE W BODDY MD
6084 PROFESSIONAL PKWY STE C
DOUGLASVILLE, GA 30134-5612
Phone number: 770-942-1440
Copy
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