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Individual

DR. JAMES EDWARD KNIGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
602 N PARRISH AVE, ADEL, GA 31620-2062
(229) 896-7595
Mailing address
602 N PARRISH AVE, ADEL, GA 31620-2062

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011397
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011397
DENTAL LICENSE
GA
Enumeration date
01/03/2007
Last updated
07/08/2007
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