Organization
JIMMY D BELLAMY DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY D BELLAMY (OWNER)
(678) 267-5784
Entity
Organization
Contact information
Practice address
5 MEDICAL OFFICE WAY, SWAINSBORO, GA 30401
(478) 419-1225
Mailing address
426 WADLEY COLEMAN LAKE RD, MIDVILLE, GA 30441-4934
(678) 267-5784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387552845B
—
GA
Enumeration date
11/24/2014
Last updated
11/24/2014
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