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Organization

CAMPBELL ORAL SURGERY AND DENTAL IMPLANT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA ABERNATHY (BUSINESS OFFICE DIRECTOR)
(877) 705-0001
Entity
Organization

Contact information

Practice address
1818 WARM SPRINGS RD, COLUMBUS, GA 31904-8029
(877) 705-0001
(888) 878-2118
Mailing address
1818 WARM SPRINGS RD, COLUMBUS, GA 31904-8029
(877) 705-0001
(888) 878-2118

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10762
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000393478C
GA
Enumeration date
11/02/2009
Last updated
11/02/2009
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