| NPI | 1487293882 |
|---|---|
| Doing Business As | GEORGIA DENTAL ASSOCIATES OF FITZGERALD |
| Entity Type | Organization |
| Authorized Contact | VICKI DAVIS Practive Admin 229-313-5083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-03 |