Common Contracts

1 similar Member Agreement contracts

EMPOWER FAMILY MEDICINE MEMBER AGREEMENT
Member Agreement • October 26th, 2015 • Georgia

This is an Agreement between Empower Family Medicine, L.L.C., a Georgia professional corporation, located at 209A Swanton Way Suite 101, Decatur, GA 30030, and you, (Principal Member). Melissa Black M.D. (Physician) serves in the capacity as an agent of Empower Family Medicine (EFM).

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