| NPI | 1821260340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RENEE DRAWDY Office Manager 706-865-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012314) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN009672) |
| 1223G0001X Dentist, General Practice (Licence: GA DN009444) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-06-20 |