Individual
GRAYSON YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 WESTBROOK BLVD, ELLIJAY, GA 30536
(706) 635-2218
Mailing address
448 CENTRAL WAY, CHATSWORTH, GA 30705-7327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123859
GA
Other
Enumeration date
05/09/2025
Last updated
07/24/2025
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