Individual
MATTHEW CARITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 454-5114
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 454-5114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014819
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148608A
—
GA
Enumeration date
07/03/2014
Last updated
02/12/2015
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