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Individual

DR. JAMES LOUIS CASSIDY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
148 COLLEGE ST, MACON, GA 31201-1607
(478) 745-0227
(478) 746-0044
Mailing address
148 COLLEGE ST, MACON, GA 31201-1607
(478) 745-0227
(478) 746-0044

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014589
GA

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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