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1881771004
MICHAEL DAVID BANOV
MARIETTA, GA
NPI
1881771004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: GA GA37445)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
DR. MICHAEL DAVID BANOV MD
108 MARGARET AVE
MARIETTA, GA 30060
Phone number: 770-422-2009
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Mailing Address
DR. MICHAEL DAVID BANOV MD
108 MARGARET AVE
MARIETTA, GA 30060
Phone number: 770-422-2009
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