Organization
AOA GULF COAST PARTNERS LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE MCCORD MD (CEO)
(770) 350-0126
Entity
Organization
Contact information
Practice address
2100 STATE AVE, PANAMA CITY, FL 32405-4587
(850) 763-0036
(850) 763-0259
Mailing address
3330 PRESTON RIDGE RD, SUITE 300, ALPHARETTA, GA 30005-4508
(770) 350-0126
(770) 350-6637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/28/2014
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