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1902907207
EAGLES LANDING FAMILY PRACTICE, LLC
MCDONOUGH, GA
NPI
1902907207
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Entity Type
Organization
Authorized Contact
JEFF MITCHAM
COO
770-914-0116
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 29378)
Enumeration Date
2006-09-26
Last Update Date
2020-02-06
Business Address
EAGLES LANDING FAMILY PRACTICE, LLC
62 KELLY RD
MCDONOUGH, GA 30253-6012
Phone number: 770-914-0116
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Mailing Address
EAGLES LANDING FAMILY PRACTICE, LLC
62 KELLY RD
MCDONOUGH, GA 30253-6012
Phone number: 770-914-0116
Copy
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