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1730171828
MINOR C VERNON
MACON, GA
NPI
1730171828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 020359)
Enumeration Date
2005-08-16
Last Update Date
2007-07-09
Business Address
Dr. MINOR C VERNON M.D.
3951 RIDGE AVE STE A
MACON, GA 31210-5050
Phone number: 478-475-1006
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Mailing Address
Dr. MINOR C VERNON M.D.
3951 RIDGE AVE STE A
MACON, GA 31210-5050
Phone number: 478-475-1006
Copy
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