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Individual

JOHN C PEZOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4401
(770) 832-1488
Mailing address
150 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4401
(770) 832-1488

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
057233
GA

Other

Enumeration date
06/11/2006
Last updated
07/18/2022
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