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Case Number and Status

Case Number: I-200-18124-225666

Submitted on:

CERTIFIED

on:

Employment

From: 2018-06-25

To: 2021-06-24 (1,095 days)

Address

775 Poplar Road
Newnan, GA 30265

Phone

7704004473


Attorney Summary

Location
Portland, ME

Job Summary

Job Title
Physician
City and State
Newnan, GA
County
Coweta

Soc Code
29-1069.00
Naics Code
Industry Code
622110