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Organization

CUNANAN MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROMEO MIRANDA CUNANAN MBA (PRESIDENT)
(770) 251-4140
Entity
Organization

Contact information

Practice address
109 BULLSBORO DR, NEWNAN, GA 30263
(770) 251-4140
(770) 251-7275
Mailing address
109 BULLSBORO DR, NEWNAN, GA 30263
(770) 251-4140
(770) 251-7275

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
442780335A
GA
Enumeration date
12/11/2006
Last updated
09/09/2011
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