Individual
DR. JACQUELINE PAULETTE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
854 HAMPTON RD, MCDONOUGH, GA 30253-6514
(770) 320-9882
(770) 320-9884
Mailing address
3287 WEATHERED WOOD WAY, REX, GA 30273-2469
(404) 353-1601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123175
GA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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