Organization
GEORGIA DENTAL ALLIANCE OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SIMS (CREDENTIALING SPECIALIST)
(470) 552-1823
Entity
Organization
Contact information
Practice address
6410 W HAMILTON PARK DR, COLUMBUS, GA 31909-3004
(706) 653-8700
Mailing address
6410 W HAMILTON PARK DR, COLUMBUS, GA 31909-3004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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