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Individual

DR. TONYA M. GUNBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
502 SCREVEN ST, LOUISVILLE, GA 30434-1722
(478) 625-3662
(478) 625-8159
Mailing address
502 SCREVEN ST, LOUISVILLE, GA 30434-1722
(478) 625-3662
(478) 625-8159

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011374
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000667829A
GA
01
859309
UNITED CONCORDIA PIN
GA
Enumeration date
01/03/2007
Last updated
09/17/2013
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