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Individual

DR. DAMION ROCKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2220 WISTERIA DR STE 300, SNELLVILLE, GA 30078-4604
(678) 836-2107
Mailing address
2220 WISTERIA DR STE 300, SNELLVILLE, GA 30078-4604
(229) 392-3897

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014883
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225384365
GA
Enumeration date
07/26/2012
Last updated
12/12/2017
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