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Individual

STANLEY CHRIS GAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
BALDWIN STATE PRISON, HARDWICK, GA 31034
(478) 445-6174
Mailing address
3088 PLANTATION DR, DUBLIN, GA 31021-3281
(478) 274-0286

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN010545
GA

Other

Enumeration date
01/28/2021
Last updated
01/28/2021
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