| Field |
Value |
| AME Number: | 21484 |
| First Name: | JOHN P |
| Last Name: | OUDERKIRK |
| Name Suffix: | |
| Medical License: | MD |
| Medical Specialty: | Internal Medicine |
| First Class AME: | N |
| Appointment Date: | 6/24/2005 |
| Pilots License: | None |
| Accident Investigator: | N |
| Phone Number: | (404) 588-4680 |
| Mailing Address: | ID GROUP OF ATLANTA, LLC, 340 BOULEVARD NE STE 210 |
| City Name: | ATLANTA |
| State Name: | GEORGIA |
| Zip Code: | 30312- |
| County Name: | FULTON |
| Region Name: | SOUTHERN |
|
|
