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2858 Pine Street Unadilla GA 31091 | |
| (478) 627-3263 | |
| (478) 627-9714 |
| Full Name | |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 2858 Pine Street, Unadilla, Georgia |
| Authorized Official Name and Position | Amy L Lancaster (CFO) |
| Authorized Official Contact | 4786273263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2858 Pine Street Unadilla GA 31091 Ph: (478) 627-3263 | 2858 Pine Street Unadilla GA 31091 Ph: (478) 627-3263 |
| NPI Number | 1053458190 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053458190 | NPI | - | NPPES |
Stephen R. Byrd, D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Pine St, Unadilla, GA 31091 Phone: 478-627-3283 Fax: 478-627-9010 |