Individual
DR. AVERY PATTON BEALL JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 CORPORATE PLAZA DR, LAGRANGE, GA 30241-2883
(706) 882-2597
(706) 882-0836
Mailing address
418 PINEVIEW TER, LAGRANGE, GA 30240-2130
(706) 882-1163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008325
GA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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