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Organization

CUMMING MEDICAL VENTURES

Active
Other names
Northwoods Medical Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE E GOEDTKE (BUSINESS OFFICE MANAGER)
(770) 781-6350
Entity
Organization

Contact information

Practice address
1230 BALD RIDGE MARINA RD, CUMMING, GA 30041-7536
(770) 781-6350
(770) 781-6357
Mailing address
1230 BALD RIDGE MARINA RD, CUMMING, GA 30041-7536
(770) 781-6350
(770) 781-6357

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/25/2006
Last updated
03/05/2008
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