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1134641095
SCOTTY BLANCHARD
WAYCROSS, GA
NPI
1134641095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015463)
Enumeration Date
2017-07-12
Last Update Date
2022-07-21
Business Address
SCOTTY BLANCHARD DMD
1601 ALICE ST STE B
WAYCROSS, GA 31501-4578
Phone number: 912-285-5967
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Mailing Address
SCOTTY BLANCHARD DMD
1601 ALICE ST STE B
WAYCROSS, GA 31501-4578
Phone number: 912-285-5967
Copy
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