Individual
DR. MAGUALIE WOOLLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7760 HAMPTON PL, BUILDING 6, LOGANVILLE, GA 30052-6770
(678) 639-0080
(678) 639-0088
Mailing address
7760 HAMPTON PL, BUILDING 6, LOGANVILLE, GA 30052-6770
(678) 639-0080
(678) 639-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012142
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442081793B
—
GA
Enumeration date
10/01/2013
Last updated
10/01/2013
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