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1710954698
GLEN S CARLSON
ATLANTA, GA
NPI
1710954698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: GA 032149)
Enumeration Date
2006-03-01
Last Update Date
2007-07-08
Business Address
-- GLEN S CARLSON MD
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Phone number: 404-605-3247
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Mailing Address
-- GLEN S CARLSON MD
PO BOX 491028
LAWRENCEVILLE, GA 30049
Phone number: 404-605-3247
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