| Southern Periodontics | |
|
427 S 4th St Gadsden AL 35901-5281 | |
| (256) 467-3638 | |
| Not Available |
| Full Name | Southern Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 427 S 4th St, Gadsden, Alabama |
| Authorized Official Name and Position | Coty Hulgan (PRESIDENT) |
| Authorized Official Contact | 2564673638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Periodontics 427 S 4th St Gadsden AL 35901-5281 Ph: () - | Southern Periodontics 427 S 4th St Gadsden AL 35901-5281 Ph: (256) 467-3638 |
| NPI Number | 1922521350 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922521350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6124 (Alabama) | Primary |
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