Individual
DR. JUSTIN LAMAR GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15 RUTH DR, NEWNAN, GA 30265-2317
(770) 253-3171
Mailing address
6600 VAN AALST BLVD, COLUMBUS, GA 31905-2102
(762) 408-3086
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014646
GA
Other
Enumeration date
08/01/2013
Last updated
09/22/2022
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