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Individual

ASTOR T LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PC

Contact information

Practice address
3226 HAMPTON AVE STE E, BRUNSWICK, GA 31520-4255
(912) 265-2343
Mailing address
3226 HAMPTON AVE STE E, BRUNSWICK, GA 31520-4255
(912) 265-2343

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018819
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00223022B
GA
Enumeration date
07/19/2006
Last updated
10/13/2010
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