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Endocrine Specialists of Georgia, LLC 40 Fox Chase, Cartersville, Georgia, 30120 6784002621 FAX 8006043410 Francisco Fuentes, MD, FACEPatient Acknowledgment Form Patient Name: ___ DOB:___ I understand
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Individuals with endocrine disorders such as diabetes, thyroid problems, adrenal issues, or hormonal imbalances
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Endocrine Specialists of Georgia is a medical practice specializing in the treatment of endocrine disorders.
Endocrine Specialists of Georgia is required to file by the medical professionals who work at the practice.
To fill out the Endocrine Specialists of Georgia form, medical professionals need to provide information on the practice's activities and financials.
The purpose of Endocrine Specialists of Georgia is to report on the practice's operations and finances for regulatory purposes.
Information such as revenue, expenses, patient volume, and services provided must be reported on Endocrine Specialists of Georgia.
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