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Organization

GA FIRST CHOICE NETWORK INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILMER A LOZA (PRESIDENT)
(770) 454-8030
Entity
Organization

Contact information

Practice address
2544 MCCLAVE DR, SUITE 107-108, DORAVILLE, GA 30340-1909
(770) 454-8030
(770) 454-7662
Mailing address
2544 MCCLAVE DR, SUITE 107-108, DORAVILLE, GA 30340-1909
(770) 454-8030
(770) 454-7662

Taxonomy

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

Other

Enumeration date
02/25/2008
Last updated
02/25/2008
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