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Individual

DR. KIM JACKSON MATHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2401 NEWNAN CROSSING BLVD E, SUITE 210, NEWNAN, GA 30265-2408
(770) 251-5777
Mailing address
2401 NEWNAN CROSSING BLVD E, SUITE 210, NEWNAN, GA 30265-2408
(770) 251-5777

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12198
GA

Other

Enumeration date
03/03/2008
Last updated
02/24/2015
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