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Organization
DR KIM BRADLEY HOOD DMD PC
Active
Organization
DR KIM BRADLEY HOOD DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM BRADLEY HOOD DMD PC (PRES OWNER)
(912) 449-6310
Entity
Organization
Contact information
Practice address
643 EAST MAIN STREET, BLACKSHEAR, GA 31516
(912) 449-6310
(912) 449-0009
Mailing address
643 EAST MAIN STREET, BLACKSHEAR, GA 31516
(912) 449-6310
(912) 449-0009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010794
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839938
UNITED CONCORDIA INS
—
Enumeration date
11/21/2006
Last updated
08/22/2020
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