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1902218969
GREGORY JUSTIN COFFMAN
ROSWELL, GA
NPI
1902218969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: GA 78892)
Enumeration Date
2014-05-27
Last Update Date
2019-10-29
Business Address
Dr. GREGORY JUSTIN COFFMAN MD
2500 HOSPITAL BLVD STE 290
ROSWELL, GA 30076-4918
Phone number: 770-410-4661
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Mailing Address
Dr. GREGORY JUSTIN COFFMAN MD
2500 HOSPITAL BLVD STE 290
ROSWELL, GA 30076-4918
Phone number: 770-410-4661
Copy
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