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Individual

MR. ALASDEEME JOSHUA HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5250 HIGHWAY 138, STE 4612, UNION CITY, GA 30291-6538
(678) 509-5056
(678) 509-5057
Mailing address
5250 HIGHWAY 138, STE 4612, UNION CITY, GA 30291-6538
(678) 509-5056
(678) 509-5057

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
001076768
GA

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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