Georgia
Composite Medical Board
BASILE, PHANEL, MD
Medical - Physician
License number
024559
Date granted
02/09/1983
Date expires
12/31/2003
Class
Medical - Physician
Status
Inactive
Address
1900 WINSTON ROAD | STE 603
georgiadoctors.net
ID 38027101
LAST UPDATED 2024-04-26 20:06:35 UTC
LAST UPDATED 2024-04-26 20:06:35 UTC
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