| Bobby R Childree Dmd Pc | |
|
175 South Main Street Jasper GA 30143 | |
| (706) 692-2646 | |
| (706) 253-3202 |
| Full Name | Bobby R Childree Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 175 South Main Street, Jasper, Georgia |
| Authorized Official Name and Position | Bobby Ray Childree (PRESIDENT OF CORPORATION (PC)) |
| Authorized Official Contact | 7066922646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby R Childree Dmd Pc 175 South Main Street Po Box 698 Jasper GA 30143 Ph: (706) 692-2646 | Bobby R Childree Dmd Pc 175 South Main Street Jasper GA 30143 Ph: (706) 692-2646 |
| NPI Number | 1235247644 |
|---|---|
| Provider Enumeration Date | 08/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235247644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8754 (Georgia) | Primary |
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