Individual
MR. KEVIN GERNON EATMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
275 14TH ST NW STE 100, ATLANTA, GA 30318-9100
(404) 254-0149
(404) 254-0847
Mailing address
2931 GREY MOSS PASS, DULUTH, GA 30097-6274
(404) 254-0149
(404) 254-0847
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DNO12725
GA
Other
Enumeration date
11/13/2006
Last updated
10/28/2019
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