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Individual

DR. BROCK J PUMPHREY I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
999 PEACHTREE ST NE STE 710, ATLANTA, GA 30309-3964
(404) 876-4867
Mailing address
999 PEACHTREE ST NE STE 710, ATLANTA, GA 30309-3964
(404) 876-4867

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN014582
GA

Other

Enumeration date
03/20/2013
Last updated
12/06/2017
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