| Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd | |
|
2009 Tebeau Street Waycross GA 31501 | |
| (912) 283-1340 | |
| (912) 283-0334 |
| Full Name | Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2009 Tebeau Street, Waycross, Georgia |
| Authorized Official Name and Position | Andrew Lee Jackson (OWNER PRESIDENT) |
| Authorized Official Contact | 9122831340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd 2009 Tebeau Street Waycross GA 31501 Ph: (912) 283-1340 | Dr Andrew Lee Jackson Dmd Dr Celestine Vernedoe Dmd 2009 Tebeau Street Waycross GA 31501 Ph: (912) 283-1340 |
| NPI Number | 1124157847 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124157847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9939 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 9840 (Georgia) | Secondary |
William C Hurst, Sr., D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Lister St, Waycross, GA 31501 Phone: 912-285-1218 Fax: 912-285-9518 | |
Donald A. Bethea, D.d.s., L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Lister St, Waycross, GA 31501 Phone: 912-285-1218 | |
William Keith Crummey Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Alice St, Suite B, Waycross, GA 31501 Phone: 912-285-5967 Fax: 912-285-0762 | |
Lucas And Thomas Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Alice St, Waycross, GA 31501 Phone: 912-285-3140 Fax: 912-285-0260 | |
Jon A Drawdy Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Screven Avenue, Waycross, GA 31501 Phone: 912-285-0062 | |
Jon A Drawdy Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Screven Ave, Waycross, GA 31501 Phone: 912-285-0062 Fax: 912-285-5006 |