Individual
DR. JIMMY S BALKCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,P.C.
Contact information
Practice address
2310 HENRY CLOWER BLVD STE C, SNELLVILLE, GA 30078-5776
(770) 972-2000
(770) 979-5000
Mailing address
1442 ORLEANS CT, GRAYSON, GA 30017-1072
(770) 979-9064
(770) 979-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8974
GA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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