| West Atlanta Oral Surgery | |
|
6043 Prestley Mill Rd Ste A Douglasville GA 30134-2280 | |
| (770) 949-3797 | |
| (770) 949-9077 |
| Full Name | West Atlanta Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6043 Prestley Mill Rd Ste A, Douglasville, Georgia |
| Authorized Official Name and Position | Richard W. Kinsey (SEC- TREAS.) |
| Authorized Official Contact | 7709493797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Atlanta Oral Surgery 6043 Prestley Mill Rd Ste A Douglasville GA 30134-2280 Ph: (770) 949-3797 | West Atlanta Oral Surgery 6043 Prestley Mill Rd Ste A Douglasville GA 30134-2280 Ph: (770) 949-3797 |
| NPI Number | 1164619599 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164619599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9063 (Georgia) | Primary |
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