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Organization
SOUTHERN PERIODONTICS, PC
Active
Organization
SOUTHERN PERIODONTICS, PC
Active
Other names
Southern Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COTY HULGAN DMD (PRESIDENT)
(256) 467-3638
Entity
Organization
Contact information
Practice address
300 MEDICAL CENTER DR STE 502, GADSDEN, AL 35903-1159
(256) 467-3638
Mailing address
300 MEDICAL CENTER DR STE 502, GADSDEN, AL 35903-1159
(256) 467-3638
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6124
AL
Other
Enumeration date
07/18/2017
Last updated
06/17/2025
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