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MR. GREGORY JOHN PLAGEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
737 SYCAMORE DR, VILLA RICA, GA 30180-5323
(678) 516-6056

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN226581
GA

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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