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1902976152
ARTHUR J PROVISOR
COLUMBUS, GA
NPI
1902976152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: GA 047358)
Enumeration Date
2006-11-08
Last Update Date
2018-08-06
Business Address
ARTHUR J PROVISOR MD
1800 10TH AVE
COLUMBUS, GA 31901
Phone number: 706-571-1120
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Mailing Address
ARTHUR J PROVISOR MD
4750 WATERS AVE STE 103
SAVANNAH, GA 31404-6267
Phone number: 912-350-5646
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