| Blanchard, Swinson, Fogle | |
|
98 N Park Dr Fayetteville GA 30214-1645 | |
| (770) 461-1141 | |
| Not Available |
| Full Name | Blanchard, Swinson, Fogle |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 98 N Park Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Denise Hood (MANAGER) |
| Authorized Official Contact | 7706317001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanchard, Swinson, Fogle 98 N Park Dr Fayetteville GA 30214-1645 Ph: (770) 461-1141 | Blanchard, Swinson, Fogle 98 N Park Dr Fayetteville GA 30214-1645 Ph: (770) 461-1141 |
| NPI Number | 1962666032 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962666032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AB6670283 (Georgia) | Primary |
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