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Individual

MR. JOHN MEDDLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMT

Contact information

Practice address
5474 OAKLEY INDUSTRIAL BLVD APT 1032, FAIRBURN, GA 30213-4475
(678) 778-2109
(770) 774-4232
Mailing address
5474 OAKLEY INDUSTRIAL BLVD APT 1032, FAIRBURN, GA 30213-4475
(678) 778-2109
(770) 774-4232

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT002021
GA

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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