Carterr-rockbridge General Dentistry,pc | |
5050 Jimmy Carter Blvd Ste 320 Norcross GA 30093-2759 | |
(770) 662-5955 | |
(770) 662-5628 |
Full Name | Carterr-rockbridge General Dentistry,pc |
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Speciality | Dentist |
Location | 5050 Jimmy Carter Blvd Ste 320, Norcross, Georgia |
Authorized Official Name and Position | Gloria Stingley (OWNER) |
Authorized Official Contact | 7706625955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carterr-rockbridge General Dentistry,pc 5050 Jimmy Carter Blvd Ste 320 Norcross GA 30093-2759 Ph: (770) 662-5955 | Carterr-rockbridge General Dentistry,pc 5050 Jimmy Carter Blvd Ste 320 Norcross GA 30093-2759 Ph: (770) 662-5955 |
NPI Number | 1982002309 |
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Provider Enumeration Date | 12/17/2014 |
Last Update Date | 12/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982002309 | NPI | - | NPPES |
1215094719 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN011230 (Georgia) | Primary |
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