Individual
DR. CHAD ANDREW TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
129 MAIN STREET, JERSEY, GA 30018
(770) 464-3626
Mailing address
PO BOX 275, JERSEY, GA 30018-0275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122581
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2021
Last updated
05/25/2022
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