Individual
DR. TROY MICHAEL LAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4451 COUNTRY CLUB RD, SUITE B, STATESBORO, GA 30458-9233
(912) 764-4495
Mailing address
PO BOX 1985, STATESBORO, GA 30459-1985
(912) 764-4495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN012756
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4292
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012756
GA
Other
Enumeration date
03/22/2007
Last updated
06/21/2012
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