Georgia
Composite Medical Board
UMMAT, NEERA, MD
Medical - Physician
License number
021290
Date granted
02/13/1980
Date expires
12/31/1981
Class
Medical - Physician
Status
Lapsed
Address
2909 SHADOW RIDGE DR
georgiadoctors.net
ID 38088701
LAST UPDATED 2026-04-04 21:41:12 UTC
LAST UPDATED 2026-04-04 21:41:12 UTC
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