Newnan Periodontics Llc | |
1635 Highway 34 E Ste A Newnan GA 30265-2173 | |
(770) 252-0029 | |
(770) 252-0091 |
Full Name | Newnan Periodontics Llc |
---|---|
Speciality | Dentist - Periodontics |
Location | 1635 Highway 34 E Ste A, Newnan, Georgia |
Authorized Official Name and Position | Ragan L Faler (OWNER) |
Authorized Official Contact | 7702520029 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newnan Periodontics Llc 1635 Highway 34 E Ste A Newnan GA 30265-2173 Ph: (770) 252-0029 | Newnan Periodontics Llc 1635 Highway 34 E Ste A Newnan GA 30265-2173 Ph: (770) 252-0029 |
NPI Number | 1972012961 |
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Provider Enumeration Date | 09/22/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972012961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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