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1710280656
NEW GYN LLC
DULUTH, GA
NPI
1710280656
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Entity Type
Organization
Authorized Contact
JONG KYU SONG
Doctor
770-670-6551
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: GA 015637)
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
NEW GYN LLC
3840 PEACHTREE INDUSTRIAL BLVD 275
DULUTH, GA 30096-5031
Phone number: 770-670-6551
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Mailing Address
NEW GYN LLC
3840 PEACHTREE INDUSTRIAL BLVD. 275
DULUTH, GA 30096
Phone number: 770-670-6551
Copy
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