Organization
DR. GRIFFIN E. MIZELL D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIFFIN E. MIZELL JR. (DOCTOR)
(229) 868-6615
Entity
Organization
Contact information
Practice address
100 W PARSONAGE ST, MC RAE, GA 31055-1735
(229) 868-6615
Mailing address
100 W PARSONAGE ST, MC RAE, GA 31055-1735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9762
GA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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