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Individual

DRAGOS SORIN VLADESCU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2594 LOGANVILLE HWY STE 101, GRAYSON, GA 30017-7848
(678) 225-4999
Mailing address
2594 LOGANVILLE HWY STE 101, GRAYSON, GA 30017-7848
(678) 225-4999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301092742
MI
207Q00000X
Family Medicine Physician
Primary
66098
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003111147H
GA
Enumeration date
06/25/2008
Last updated
09/29/2020
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