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Individual

JAMES EDWARD TALBOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3509 BAKER RD NW STE 401, ACWORTH, GA 30101-6305
(770) 917-8943
Mailing address
78 RIVER TERRACE, ELLIJAY, GA 30540
(706) 635-5878
(706) 635-5879

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011299
GA
122300000X
Dentist
DN011299
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000682987A
GA
Enumeration date
02/26/2007
Last updated
06/27/2019
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