Individual
BEVERLY EGOLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1980 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2020
(478) 779-1298
Mailing address
1980 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123901
GA
Other
Enumeration date
03/19/2024
Last updated
09/20/2025
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