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1902003932
COLIN C DIRCKS
SMYRNA, GA
NPI
1902003932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 000891)
Enumeration Date
2007-07-02
Last Update Date
2014-12-18
Business Address
-- COLIN C DIRCKS MD
2165 BASQUE DR SE
SMYRNA, GA 30080-6508
Phone number: 404-213-8350
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Mailing Address
-- COLIN C DIRCKS MD
2165 BASQUE DR SE
SMYRNA, GA 30080-6508
Phone number: 404-213-8350
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