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1558578070
JAYNE THENISE MIDDLEBROOKS
KENNESAW, GA
NPI
1558578070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: GA 050965)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Dr. JAYNE THENISE MIDDLEBROOKS M.D.
1652 VALOR RIDGE DR NW
KENNESAW, GA 30152-4838
Phone number: 404-543-0758
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Mailing Address
Dr. JAYNE THENISE MIDDLEBROOKS M.D.
1652 VALOR RIDGE DR NW
KENNESAW, GA 30152-4838
Phone number: 404-543-0758
Copy
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