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Modern Obstetrics & Gynecology of North Atlanta, P.C. fax number

(404) 446-2497

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Obstetrics & Gynecology

Used for: Medical Records Release Form and related medical record requests

Fax destination details

Department
Obstetrics & Gynecology
Purpose
Medical Records Release Form and related medical record requests
Form
Medical Records Release Form — Medical Records Release Form
Address
10692 Medlock Bridge Road, Suite 100-A, Johns Creek, GA 30097
Voice phone
404-446-2496

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Please indicate if records are being sent to or from Modern OB/GYN of North Atlanta; provide patient details (name, date of birth, etc.) and contact numbers; specify which records to release (e.g., entire record, radiology, labs) and reason for request.

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