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1639480684
FANTA ELIZABETH KASIAH
EVANS, GA
NPI
1639480684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 4212)
Enumeration Date
2010-06-24
Last Update Date
2014-10-03
Business Address
Dr. FANTA ELIZABETH KASIAH M.D.
104 N BELAIR RD SUITE 101
EVANS, GA 30809-6503
Phone number: 706-922-3669
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Mailing Address
Dr. FANTA ELIZABETH KASIAH M.D.
104 N BELAIR RD SUITE 101
EVANS, GA 30809-6503
Phone number: 706-922-3669
Copy
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