Individual
DR. JERRY KENNETH WELDON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
172 PROFESSIONAL PARK DR, CLARKESVILLE, GA 30523-5536
(706) 754-1015
(706) 754-3359
Mailing address
172 PROFESSIONAL PARK DR, CLARKESVILLE, GA 30523-5536
(706) 754-1015
(706) 754-3359
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
011386
GA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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