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1801965082
THE BORTOLAZZO GROUP, LLC
AUSTELL, GA
NPI
1801965082
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Entity Type
Organization
Authorized Contact
KIM H LARSEN
Director Of Credentialing
770-874-5400
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2006-11-06
Last Update Date
2020-02-05
Business Address
THE BORTOLAZZO GROUP, LLC
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-4000
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Mailing Address
THE BORTOLAZZO GROUP, LLC
PO BOX 22085
BELFAST, ME 04915-4117
Phone number: 770-874-5400
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