Georgia
Composite Medical Board
TABE-EBOB, TABI, MD
Medical - Physician
License number
064975
Date granted
08/06/2010
Date expires
04/30/2018
Class
Medical - Physician
Status
Active
Address
705 DIXIE STREET
georgiadoctors.net
ID 38085999
LAST UPDATED 2026-03-23 05:06:45 UTC
LAST UPDATED 2026-03-23 05:06:45 UTC
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