Individual
DR. RODNEY DARRYL TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
116 PLEASANT HOME RD, AUGUSTA, GA 30907-3518
(706) 868-9630
(706) 868-1008
Mailing address
116 PLEASANT HOME RD, AUGUSTA, GA 30907-3518
(706) 868-9630
(706) 868-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10576
GA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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