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1922149848
BRETT WALLENTINE
EVANS, GA
NPI
1922149848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 046334)
Enumeration Date
2007-02-12
Last Update Date
2007-07-09
Business Address
-- BRETT WALLENTINE MD
800 OAKHURST DR
EVANS, GA 30809-3650
Phone number: 706-364-5500
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Mailing Address
-- BRETT WALLENTINE MD
PO BOX 2628
EVANS, GA 30809-2628
Phone number: 706-364-5500
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