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1821186057
MACON CORE
ATLANTA, GA
NPI
1821186057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 041420)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- MACON CORE MD
1968 PEACHTREE RD NW
ATLANTA, GA 30309-1281
Phone number: 404-605-3297
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Mailing Address
-- MACON CORE MD
PO BOX 19599
ATLANTA, GA 30325-0599
Phone number: 404-605-3297
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