Individual
ASHLEY NICHOLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 N DOOLY ST, MONTEZUMA, GA 31063-1309
(478) 832-8979
Mailing address
607 N DOOLY ST, MONTEZUMA, GA 31063-1309
(478) 832-8979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
693589712
GA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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