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Individual

MR. CARLO A MUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9020 PERIDOT PKWY, STOCKBRIDGE, GA 30281-9417
(770) 626-5580
(770) 692-4754
Mailing address
4851 BILL GARDNER PKWY, SUITE 103, LOCUST GROVE, GA 30248-3644
(770) 626-5580
(770) 692-4754

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033871
GA

Other

Enumeration date
03/15/2010
Last updated
05/07/2010
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