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1881278992
MATTHEW ROBERT DETTER
ATLANTA, GA
NPI
1881278992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 97628)
Enumeration Date
2021-05-06
Last Update Date
2024-12-11
Business Address
MATTHEW ROBERT DETTER MD, PhD
101 WOODRUFF CIRCLE WMB 1105
ATLANTA, GA 30322-4238
Phone number: 404-712-1504
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Mailing Address
MATTHEW ROBERT DETTER MD, PhD
1173 WILLIVEE DR
DECATUR, GA 30033-4122
Phone number: 410-409-3318
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