Worthington Family Dentistry, P.c. | |
2804 N Oak St Ste B Valdosta GA 31602-5913 | |
(229) 242-0063 | |
(229) 242-8860 |
Full Name | Worthington Family Dentistry, P.c. |
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Speciality | Dentist - General Practice |
Location | 2804 N Oak St Ste B, Valdosta, Georgia |
Authorized Official Name and Position | Jana L Spivey (OFFICE MANAGER) |
Authorized Official Contact | 2292420063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Worthington Family Dentistry, P.c. 2804 N Oak St Ste B Valdosta GA 31602-5913 Ph: (229) 242-0063 | Worthington Family Dentistry, P.c. 2804 N Oak St Ste B Valdosta GA 31602-5913 Ph: (229) 242-0063 |
NPI Number | 1336310317 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 03/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336310317 | NPI | - | NPPES |
00919949A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 012344 (Georgia) | Primary |
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