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Alpharetta Roswell Family Practice 2404 Macy Drive Roswell, GA 30076 Phone: 7706408814 Fax 7706408815 REGISTRATION FORM (Please PRINT and complete ALL sections below) Todays Date://PATIENT INFORMATION:
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Dr. Farzana Mumtaz, MD, is a medical doctor who may specialize in a certain field of medicine, providing healthcare services to patients.
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