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1891790465
KEITH DEREK MANNES
ATLANTA, GA
NPI
1891790465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA 052783)
Enumeration Date
2005-06-20
Last Update Date
2007-07-08
Business Address
-- KEITH DEREK MANNES m.d.
3300 BUCKEYE RD STE 178
ATLANTA, GA 30341-4232
Phone number: 770-458-6103
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Mailing Address
-- KEITH DEREK MANNES m.d.
3300 BUCKEYE RD STE 178
ATLANTA, GA 30341-4232
Phone number: 770-458-6103
Copy
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