Individual
DR. JOIDAZ JERMAINE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 HIGHLAND AVE, SUITE #C, AUGUSTA, GA 30904-7800
(706) 738-0482
Mailing address
1930 HIGHLAND AVE, SUITE #C, AUGUSTA, GA 30904-7800
(706) 738-0482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014304
GA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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