Georgia
Composite Medical Board
PHUPHANICH, SURASAK, MD
Medical - Physician
License number
053514
Date granted
08/08/2003
Date expires
04/30/2009
Class
Medical - Physician
Status
Lapsed
Address
1365 CLIFTON ROAD NE | WINSHIP CANCER INSTITUE
georgiadoctors.net
ID 38072865
LAST UPDATED 2024-04-15 00:27:18 UTC
LAST UPDATED 2024-04-15 00:27:18 UTC
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