Individual
JACOBY BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 N IRWIN AVE, OCILLA, GA 31774-5007
(912) 876-3200
Mailing address
917 BARNES ST, AUGUSTA, GA 30901-2865
(912) 224-5724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122471
GA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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