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Individual

DR. MICHAEL RAY CALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
12991 JONES ST, LAVONIA, GA 30553-1158
(706) 356-1477
(706) 356-7070
Mailing address
PO BOX 736, 12991 JONES STREET, LAVONIA, GA 30553-0736
(706) 356-1477

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10836
GA

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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