Organization
JON A DRAWDY DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ALLEN DRAWDY DMD (OWNER)
(912) 285-0062
Entity
Organization
Contact information
Practice address
504 SCREVEN AVENUE, WAYCROSS, GA 31501
(912) 285-0062
Mailing address
504 SCREVEN AVENUE, WAYCROSS, GA 31501
(912) 285-0062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00063199B
—
GA
Enumeration date
05/01/2008
Last updated
05/01/2008
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