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Individual

DR. CHANDRA RHODES WILLIAMS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
111 S BELAIR RD, SUITE B, MARTINEZ, GA 30907-9110
(706) 210-1519
(706) 210-8081
Mailing address
111 S BELAIR RD, SUITE B, MARTINEZ, GA 30907-9110
(706) 210-1519
(706) 210-8081

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011890
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00793636A
GA
01
976458
UNITED CONCORDIA
Enumeration date
09/19/2005
Last updated
07/08/2007
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