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1699784785
RUSSELL C MAXA
ATLANTA, GA
NPI
1699784785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 054816)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
-- RUSSELL C MAXA M.D.
5670 PEACHTREE DUNWOODY RD NE SUITE 1200
ATLANTA, GA 30342-1699
Phone number: 404-255-9100
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Mailing Address
-- RUSSELL C MAXA M.D.
5670 PEACHTREE DUNWOODY RD NE SUITE 1200
ATLANTA, GA 30342-1699
Phone number: 404-255-9100
Copy
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