Georgia
Composite Medical Board
TIN, PE THAN, MD
Medical - Physician
License number
044856
Date granted
12/04/1997
Date expires
10/31/2017
Class
Medical - Physician
Status
Active
Address
1638 BATTLEFIELD PKWY
georgiadoctors.net
ID 38087569
LAST UPDATED 2026-06-05 20:03:42 UTC
LAST UPDATED 2026-06-05 20:03:42 UTC
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