| Jimmy D Bellamy Dmd Llc | |
|
5 Medical Office Way Swainsboro GA 30401 | |
| (478) 419-1225 | |
| Not Available |
| Full Name | Jimmy D Bellamy Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 5 Medical Office Way, Swainsboro, Georgia |
| Authorized Official Name and Position | Jimmy D Bellamy (OWNER) |
| Authorized Official Contact | 6782675784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy D Bellamy Dmd Llc 426 Wadley Coleman Lake Rd Midville GA 30441-4934 Ph: (678) 267-5784 | Jimmy D Bellamy Dmd Llc 5 Medical Office Way Swainsboro GA 30401 Ph: (478) 419-1225 |
| NPI Number | 1619374378 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 11/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619374378 | NPI | - | NPPES |
| 387552845B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN008567 (Georgia) | Primary |
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