BEN WALL JERNIGAN

DECATUR, GA
NPI1710009147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: GA  GA8612)
Enumeration Date2007-04-05
Last Update Date2007-07-08
Business Address
DR. BEN WALL JERNIGAN DMD
315 W PONCE DE LEON AVE SUITE 340
DECATUR, GA 30030-2400
Phone number: 404-378-1466
Mailing Address
DR. BEN WALL JERNIGAN DMD
315 W PONCE DE LEON AVE SUITE 340
DECATUR, GA 30030-2400
Phone number: 404-378-1466
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