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1821014291
THOMAS M FASSULIOTIS
GAINESVILLE, GA
NPI
1821014291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: GA 28540)
Enumeration Date
2006-07-15
Last Update Date
2012-05-17
Business Address
Dr. THOMAS M FASSULIOTIS M.D.
1240 JESSE JEWELL PKWY SE SUITE 200
GAINESVILLE, GA 30501-3862
Phone number: 770-532-8438
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Mailing Address
Dr. THOMAS M FASSULIOTIS M.D.
1240 JESSE JEWELL PKWY SE SUITE 200
GAINESVILLE, GA 30501-3862
Phone number: 770-532-8438
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