Individual
DR. SAM C GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
56 W GIBSON ST, HARTWELL, GA 30643-1846
(706) 376-3158
Mailing address
PO BOX 536, HARTWELL, GA 30643-0536
(706) 376-3158
(706) 376-3510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7726
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000046285A
—
GA
Enumeration date
05/17/2007
Last updated
02/03/2015
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