| Wranglehurst, P.c. | |
|
3850 Holcomb Br. Rd Suite 230 Norcross GA 30092 | |
| (770) 447-5311 | |
| (770) 447-1865 |
| Full Name | Wranglehurst, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3850 Holcomb Br. Rd, Norcross, Georgia |
| Authorized Official Name and Position | Page Phelps Barden (PRES/CEO) |
| Authorized Official Contact | 4042722512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wranglehurst, P.c. 4947 Fairhaven Way Ne Roswell GA 30075 Ph: (404) 272-2512 | Wranglehurst, P.c. 3850 Holcomb Br. Rd Suite 230 Norcross GA 30092 Ph: (770) 447-5311 |
| NPI Number | 1790196467 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790196467 | NPI | - | NPPES |
| 00882934D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN0010757 (Georgia) | Primary |
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