Individual
CHARLES GREGORY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
540 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 742-1206
(478) 742-7311
Mailing address
540 PROFESSIONAL DR, MACON, GA 31201-1411
(478) 742-1206
(478) 742-7311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9621
GA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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