AVERY PATTON BEALL JR

LAGRANGE, GA
NPI1306948781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN008325)
Enumeration Date2006-09-05
Last Update Date2007-07-08
Business Address
Dr. AVERY PATTON BEALL JR DDS
106 CORPORATE PLAZA DR
LAGRANGE, GA 30241-2883
Phone number: 706-882-2597
Mailing Address
Dr. AVERY PATTON BEALL JR DDS
418 PINEVIEW TER
LAGRANGE, GA 30240-2130
Phone number: 706-882-1163