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Individual

DR. WILLIAM C HURST SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
410 LISTER ST, WAYCROSS, GA 31501-5226
(912) 285-1218
(912) 285-9518
Mailing address
6578 HURST LN, BLACKSHEAR, GA 31516-1173
(912) 449-1389
(912) 449-4502

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
007191
GA

Other

Enumeration date
10/12/2006
Last updated
07/09/2007
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