Individual
DR. JIMMY D. BELLAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5 MEDICAL OFFICE WAY, SWAINSBORO, GA 30401
(478) 419-1225
Mailing address
PO BOX 1802, DALTON, GA 30722-1802
(912) 996-2001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387552845A
—
GA
Enumeration date
06/02/2006
Last updated
10/01/2014
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