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Individual

DR. JACQUELINE L GILKEY-ONUIGBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2745 WATSON BLVD, WARNER ROBINS, GA 31093-8078
(478) 953-2836
Mailing address
803 LANDING PT, STOCKBRIDGE, GA 30281-9064
(478) 953-2836
(678) 843-8601

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011371
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000686628C
GA
05
265434568D
GA
01
9183452
DENTAQUEST GA
GA
01
ZG1371
MEDICAID SC
SC
Enumeration date
11/16/2006
Last updated
07/21/2022
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