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Individual

DR. GWENETH MALICIA FRANCIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1265 HIGHWAY 54 W, SUITE 201, FAYETTEVILLE, GA 30214-4548
(678) 435-3044
(678) 435-3040
Mailing address
275 COLLIER RD NW, SUITE 450, ATLANTA, GA 30309-1709
(404) 355-3161
(404) 355-1353

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
068157
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003126922A
GA
05
GA1350
SC
Enumeration date
02/17/2010
Last updated
09/29/2014
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