| Mdg - Griffin Dental Llc | |
|
102 Crescent W Ste B Griffin GA 30224-4862 | |
| (770) 412-8636 | |
| (770) 412-7019 |
| Full Name | Mdg - Griffin Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Crescent W Ste B, Griffin, Georgia |
| Authorized Official Name and Position | James C Mcwhorter (OWNER) |
| Authorized Official Contact | 8015924360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdg - Griffin Dental Llc 102 Crescent W Ste B Griffin GA 30224-4862 Ph: (770) 412-8636 | Mdg - Griffin Dental Llc 102 Crescent W Ste B Griffin GA 30224-4862 Ph: (770) 412-8636 |
| NPI Number | 1134836364 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 10/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134836364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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