Organization
MITCHELL BRIDGE DENTAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELODY J HIGGINBOTHAM DMD (DR)
(706) 548-2651
Entity
Organization
Contact information
Practice address
1171A MITCHELL BRIDGE RD, ATHENS, GA 30606-6411
(706) 548-2651
(706) 543-1052
Mailing address
1171A MITCHELL BRIDGE RD, ATHENS, GA 30606-6411
(706) 548-2651
(706) 543-1052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010077
GA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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