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Individual

DR. FELIPE REYES MUSNGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
337 JEFFERSON STREET, STATHAM, GA 30666
(770) 725-7994
(770) 725-7994
Mailing address
337 JEFFERSON STREET, STATHAM, GA 30666
(770) 725-7994
(770) 725-7994

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023195
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00234737A
GA
Enumeration date
01/10/2007
Last updated
07/09/2007
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