Coweta Dentistry Sda Pc | |
203 Millard Farmer Ind Blvd Newnan GA 30263-1012 | |
(770) 253-3595 | |
Not Available |
Full Name | Coweta Dentistry Sda Pc |
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Speciality | Dentist - General Practice |
Location | 203 Millard Farmer Ind Blvd, Newnan, Georgia |
Authorized Official Name and Position | Christopher Sims (CREDENTIALING MANAGER) |
Authorized Official Contact | 4705521823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coweta Dentistry Sda Pc 203 Millard Farmer Ind Blvd Newnan GA 30263-1012 Ph: (770) 253-3595 | Coweta Dentistry Sda Pc 203 Millard Farmer Ind Blvd Newnan GA 30263-1012 Ph: (770) 253-3595 |
NPI Number | 1164064481 |
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Provider Enumeration Date | 10/09/2019 |
Last Update Date | 10/09/2019 |
Identifier | Type | State | Issuer |
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1164064481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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