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1467472027
JAN MICHEAL SCOTT
AUGUSTA, GA
NPI
1467472027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9379)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- JAN MICHEAL SCOTT DMD
1139 GREENE ST
AUGUSTA, GA 30901-2125
Phone number: 706-721-4288
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Mailing Address
-- JAN MICHEAL SCOTT DMD
1139 GREENE ST
AUGUSTA, GA 30901-2125
Phone number: 706-721-4288
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