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1659525152
S.T.R OF GEORGIA
ATLANTA, GA
NPI
1659525152
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Entity Type
Organization
Authorized Contact
JIMMIE DOMINIC DANCER
Owner
404-367-3014
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2008-11-11
Last Update Date
2008-11-19
Business Address
S.T.R OF GEORGIA
35 COLLIER RD NW STE 635
ATLANTA, GA 30309-1611
Phone number: 404-367-3014
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Mailing Address
S.T.R OF GEORGIA
2566 SHALLOWFORD RD NE SUITE 104 PBM 329
ATLANTA, GA 30345-0000
Phone number: 404-367-3014
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