JAN MICHEAL SCOTT

AUGUSTA, GA
NPI1467472027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  9379)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- JAN MICHEAL SCOTT DMD
1139 GREENE ST
AUGUSTA, GA 30901-2125
Phone number: 706-721-4288
Mailing Address
-- JAN MICHEAL SCOTT DMD
1139 GREENE ST
AUGUSTA, GA 30901-2125
Phone number: 706-721-4288