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1710326459
MICHAEL BRIAN WITHERSPOON
FAYETTEVILLE, GA
NPI
1710326459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 6837)
Enumeration Date
2013-06-16
Last Update Date
2015-09-24
Business Address
Mr. MICHAEL BRIAN WITHERSPOON PA
1255 HWY 54 W
FAYETTEVILLE, GA 30214
Phone number: 770-793-5000
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Mailing Address
Mr. MICHAEL BRIAN WITHERSPOON PA
18167 US HWY. 19 N #650
CLEARWATER, FL 33764
Phone number:
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