Individual
DR. JAMES MICHAEL THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2O BAKER ROAD, SUITE 6, NEWNAN, GA 30265
(770) 251-8767
(770) 251-7059
Mailing address
65 FAWN RDG, NEWNAN, GA 30265-1282
(770) 251-7394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008554
GA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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