| Coweta Dentistry Sda Pc | |
|
203 Millard Farmer Ind Blvd Newnan GA 30263-1012 | |
| (770) 253-3595 | |
| Not Available |
| Full Name | Coweta Dentistry Sda Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 Millard Farmer Ind Blvd, Newnan, Georgia |
| Authorized Official Name and Position | Christopher Sims (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4705521823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coweta Dentistry Sda Pc 203 Millard Farmer Ind Blvd Newnan GA 30263-1012 Ph: (770) 253-3595 | Coweta Dentistry Sda Pc 203 Millard Farmer Ind Blvd Newnan GA 30263-1012 Ph: (770) 253-3595 |
| NPI Number | 1164064481 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164064481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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