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1174746721
GEORGE W CHILDRESS
LAGRANGE, GA
NPI
1174746721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 10992)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. GEORGE W CHILDRESS D.M.D.
114 CALUMET CENTER RD
LAGRANGE, GA 30241-6703
Phone number: 706-882-1888
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Mailing Address
Dr. GEORGE W CHILDRESS D.M.D.
114 CALUMET CENTER RD
LAGRANGE, GA 30241-6703
Phone number: 706-882-1888
Copy
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