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1710411590
SOTHEAVY VANN
MARIETTA, GA
NPI
1710411590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 87163)
Enumeration Date
2017-04-18
Last Update Date
2021-03-16
Business Address
SOTHEAVY VANN MD
1605 ROBERTA DR SW
MARIETTA, GA 30008-3855
Phone number: 404-937-3851
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Mailing Address
SOTHEAVY VANN MD
1605 ROBERTA DR SW
MARIETTA, GA 30008-3855
Phone number: 404-937-3851
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