Individual
DR. ROBERT ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 S GREENWOOD ST, LAGRANGE, GA 30240-3128
(706) 882-5551
(706) 812-8558
Mailing address
PO BOX 1352, CARROLLTON, GA 30112-0025
(770) 834-4075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000177262A
—
GA
Enumeration date
06/22/2006
Last updated
07/09/2012
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