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1104046051
CHARLES GREGORY BURNS
MACON, GA
NPI
1104046051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9621)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- CHARLES GREGORY BURNS DMD
540 PROFESSIONAL DR
MACON, GA 31201-1411
Phone number: 478-742-1206
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Mailing Address
-- CHARLES GREGORY BURNS DMD
540 PROFESSIONAL DR
MACON, GA 31201-1411
Phone number: 478-742-1206
Copy
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