Individual
DR. MELISSA MOBLEY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
437 LEWISTON RD STE 2, GROVETOWN, GA 30813-4286
(706) 619-1733
Mailing address
437 LEWISTON RD STE 2, GROVETOWN, GA 30813-4286
(706) 619-1733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014261
GA
Other
Enumeration date
05/24/2011
Last updated
06/23/2021
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