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1982798047
JOSE M THECKEDATH
ALBANY, GA
NPI
1982798047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: GA GA45992)
Enumeration Date
2006-10-03
Last Update Date
2013-03-20
Business Address
Dr. JOSE M THECKEDATH MD
1911 PALMYRA RD
ALBANY, GA 31701-1574
Phone number: 229-446-7227
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Mailing Address
Dr. JOSE M THECKEDATH MD
1911 PALMYRA RD
ALBANY, GA 31701-1574
Phone number: 229-446-7227
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