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1720037310
MILTON DERRICK BODEN
DECATUR, GA
NPI
1720037310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: GA 041518)
Enumeration Date
2006-05-09
Last Update Date
2007-07-08
Business Address
MILTON DERRICK BODEN M.D.
2665 N DECATUR RD SUITE 330
DECATUR, GA 30033-6149
Phone number: 404-297-9755
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Mailing Address
MILTON DERRICK BODEN M.D.
2101 CHESTERFIELD DR NE
ATLANTA, GA 30345-3705
Phone number: 404-633-1945
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