Organization
NORTH GEORGIA CENTER FOR CORRECTIVE JAW SURGERY, P.C.
Active
Other names
Calhoun Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY DAWN JAMES (PRACTICE MANAGER)
(706) 277-9393
Entity
Organization
Contact information
Practice address
1107 MEMORIAL DR, STE. 101, DALTON, GA 30720-8662
(706) 277-9393
(706) 277-9628
Mailing address
1107 MEMORIAL DR, STE. 101, DALTON, GA 30720-8662
(706) 277-9393
(706) 277-9628
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011433
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000678917A
—
GA
01
—
9180202
DORAL DENTAL
GA
01
—
954599
UNITED CONCORDIA
GA
Enumeration date
06/02/2008
Last updated
06/02/2008
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