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1306948781
AVERY PATTON BEALL JR
LAGRANGE, GA
NPI
1306948781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN008325)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
Dr. AVERY PATTON BEALL JR DDS
106 CORPORATE PLAZA DR
LAGRANGE, GA 30241-2883
Phone number: 706-882-2597
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Mailing Address
Dr. AVERY PATTON BEALL JR DDS
418 PINEVIEW TER
LAGRANGE, GA 30240-2130
Phone number: 706-882-1163
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