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1962532085
COVENANT FAMILY MEDICINE
DACULA, GA
NPI
1962532085
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Entity Type
Organization
Authorized Contact
HENRY SONG MOON
Partner
678-730-1620
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-03-07
Last Update Date
2010-01-15
Business Address
COVENANT FAMILY MEDICINE
2098 TERON TRACE SUITE 150
DACULA, GA 30019
Phone number: 678-730-1620
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Mailing Address
COVENANT FAMILY MEDICINE
2098 TERON TRACE SUITE 150
DACULA, GA 30019
Phone number: 678-730-1620
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