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1030 Peach Parkway, Ste 9 Fort Valley GA 31030 | |
| (478) 825-3000 | |
| (478) 825-3099 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1030 Peach Parkway, Ste 9, Fort Valley, Georgia |
| Authorized Official Name and Position | Ulysses L Marable (OWNER/MEMBER) |
| Authorized Official Contact | 4788253000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1030 Peach Parkway, Ste 9 Fort Valley GA 31030 Ph: (478) 825-3000 | 1030 Peach Parkway, Ste 9 Fort Valley GA 31030 Ph: (478) 825-3000 |
| NPI Number | 1316208341 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316208341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13223 (Georgia) | Primary |
Whitaker Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Orange St, Fort Valley, GA 31030 Phone: 478-825-2001 | |
Curtis E. Waites, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Bluebird Blvd, Fort Valley, GA 31030 Phone: 478-825-2314 Fax: 478-825-2338 | |
Peach Family Dentistry,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Knoxville St, Fort Valley, GA 31030 Phone: 478-825-3315 Fax: 478-825-8396 |