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1104972157
T. PETER WORTHY
CARROLLTON, GA
NPI
1104972157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN008736)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- T. PETER WORTHY DDS
103 PROFESSIONAL PL
CARROLLTON, GA 30117-3862
Phone number: 777-832-1311
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Mailing Address
-- T. PETER WORTHY DDS
103 PROFESSIONAL PL
CARROLLTON, GA 30117-3862
Phone number: 777-832-1311
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