Individual
DR. JIMMY LEE BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5156 COOK ST NE, COVINGTON, GA 30014-2630
(678) 342-9933
(678) 526-0010
Mailing address
416 WATER FALL LN, STONE MOUNTAIN, GA 30087-6317
(770) 482-7800
(678) 526-0010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11497
GA
Other
Enumeration date
02/09/2007
Last updated
11/02/2016
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