Organization
WORTHINGTON FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA L SPIVEY RDH (OFFICE MANAGER)
(229) 242-0063
Entity
Organization
Contact information
Practice address
2804 N OAK ST STE B, VALDOSTA, GA 31602-5913
(229) 242-0063
(229) 242-8860
Mailing address
2804 N OAK ST STE B, VALDOSTA, GA 31602-5913
(229) 242-0063
(229) 242-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00919949A
—
GA
Enumeration date
03/18/2008
Last updated
03/18/2008
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