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1598495798
DALLAS STURDEVANT
AUGUSTA, GA
NPI
1598495798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 13836)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
DR. DALLAS STURDEVANT DO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-3186
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Mailing Address
DR. DALLAS STURDEVANT DO
407 SHORTLEAF TRL
MARTINEZ, GA 30907-3364
Phone number: 307-851-3699
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