Individual
DR. KARAN GEORGE THACHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 N MACON ST, MACON, GA 31210-6562
(478) 733-0857
Mailing address
278 ANGLA DR SE, SMYRNA, GA 30082-3637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015481
GA
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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