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1912933615
HERITAGE FAMILY PRACTICE, LLC
MCDONOUGH, GA
NPI
1912933615
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Entity Type
Organization
Authorized Contact
MARY TEJU GUEST
Physician
770-288-3883
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 055755)
Enumeration Date
2006-06-24
Last Update Date
2020-08-22
Business Address
HERITAGE FAMILY PRACTICE, LLC
1010 PENNSYLVANIA AVE
MCDONOUGH, GA 30253-9101
Phone number: 770-288-3883
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Mailing Address
HERITAGE FAMILY PRACTICE, LLC
1010 PENNSYLVANIA AVE
MCDONOUGH, GA 30253-9101
Phone number: 770-288-3883
Copy
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