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Organization

4KLOOR LLC

Active
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Organization

4KLOOR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CESAR LOOR (PHYSICIAN ASSISTANT)
(678) 880-6879
Entity
Organization

Contact information

Practice address
1558 MARIETTA HWY, 230, CANTON, GA 30114-3616
(678) 880-6879
(678) 880-8834
Mailing address
1558 MARIETTA HYW, 230, CANTON, GA 30114
(678) 880-6879
(678) 880-8834

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
00658
GA
261Q00000X
Clinic/Center
160312
GA

Other

Enumeration date
10/09/2012
Last updated
10/10/2012
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