RUSSELL A SEABOLT

BLUE RIDGE, GA
NPI1427070531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  10827)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. RUSSELL A SEABOLT dmd
21 KIMBERLY LANE
BLUE RIDGE, GA 30513
Phone number: 706-632-6800
Mailing Address
Dr. RUSSELL A SEABOLT dmd
PO BOX 640 21 KIMBERLY LANE
BLUE RIDGE, GA 30513-0011
Phone number: 706-632-6800
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