| Chatham Oral Surgery | |
|
613 Towne Park Dr W Ste 301 Rincon GA 31326-5258 | |
| (912) 354-1515 | |
| (912) 354-8181 |
| Full Name | Chatham Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 613 Towne Park Dr W Ste 301, Rincon, Georgia |
| Authorized Official Name and Position | Michael C Wilson (OWENR) |
| Authorized Official Contact | 9123541515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chatham Oral Surgery 501 Eisenhower Dr Savannah GA 31406-2668 Ph: (912) 354-1515 | Chatham Oral Surgery 613 Towne Park Dr W Ste 301 Rincon GA 31326-5258 Ph: (912) 354-1515 |
| NPI Number | 1710630694 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 10/28/2024 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710630694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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