Individual
DR. JOSEPH WAYNE GRIMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 N CUTHBERT ST, COLQUITT, GA 39837-3401
(229) 758-3345
(229) 758-3339
Mailing address
115 N CUTHBERT ST, P.O. BOX 96, COLQUITT, GA 39837-3401
(229) 758-3345
(229) 758-3339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010031
GA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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