TIMOTHY T GRANTHAM

VALDOSTA, GA
NPI1063580181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  10547)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- TIMOTHY T GRANTHAM DMD
103 W CRANFORD AVE
VALDOSTA, GA 31602-2930
Phone number: 229-249-0717
Mailing Address
-- TIMOTHY T GRANTHAM DMD
103 W CRANFORD AVE
VALDOSTA, GA 31602-2930
Phone number: 229-249-0717
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