TIMOTHY B. FAGAN

MOULTRIE, GA
NPI1871754614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN011154)
Enumeration Date2008-06-24
Last Update Date2008-06-24
Business Address
Dr. TIMOTHY B. FAGAN DMD
7 LONG LEAF OFFICE PARK
MOULTRIE, GA 31768-6781
Phone number: 229-985-4674
Mailing Address
Dr. TIMOTHY B. FAGAN DMD
PO BOX 160
MOULTRIE, GA 31776-0160
Phone number: 229-985-4674
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