West Ga Oral Surgery Associates, P.c. | |
1587 Vernon Rd Lagrange GA 30240-4146 | |
(706) 884-2655 | |
Not Available |
Full Name | West Ga Oral Surgery Associates, P.c. |
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Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 1587 Vernon Rd, Lagrange, Georgia |
Authorized Official Name and Position | William P Hines (OWNER) |
Authorized Official Contact | 7068842655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Ga Oral Surgery Associates, P.c. 1587 Vernon Rd Lagrange GA 30240-4146 Ph: (706) 884-2655 | West Ga Oral Surgery Associates, P.c. 1587 Vernon Rd Lagrange GA 30240-4146 Ph: (706) 884-2655 |
NPI Number | 1942403795 |
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Provider Enumeration Date | 06/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1942403795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 8424 (Georgia) | Primary |
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