Individual
DR. FREDDIE JAMES WAKEFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6568 TARA BLVD, JONESBORO, GA 30236
(770) 961-2000
(770) 961-9692
Mailing address
1650 OAKBROOK DR, STE 440, NORCROSS, GA 30093
(770) 448-1030
(770) 446-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11152
GA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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