Organization
PEDIATRIC DENTISTRY OF CENTRAL GEORGIA - MACON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON BATTLE (PRACTICE MANAGER)
(478) 333-3636
Entity
Organization
Contact information
Practice address
5437 BOWMAN RD STE 300, MACON, GA 31210-6575
(478) 333-3636
Mailing address
900 PROFESSIONAL DR, WARNER ROBINS, GA 31088-0520
(478) 333-3636
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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