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Individual

DR. JOSEPH MARTIN ECHOLS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1414 MARKS CHURCH RD, AUGUSTA, GA 30909-2430
(706) 738-8919
(706) 592-5934
Mailing address
11 BRISTLECONE WAY, AUGUSTA, GA 30909-4536
(706) 736-6254
(706) 592-5934

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9154
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00200472A
GA
05
00200472B
GA
01
100971
AVESIS
GA
01
649764
UNITED CONCORDIA
GA
01
9183202
DORAL
GA
Enumeration date
01/23/2007
Last updated
07/09/2007
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