Individual
TERRY HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3845 MEDICAL PARK DR, AUSTELL, GA 30106-1109
(678) 362-0033
Mailing address
3845 MEDICAL PARK DR, AUSTELL, GA 30106-1109
(770) 944-3737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12215
GA
Other
Enumeration date
03/08/2007
Last updated
08/29/2023
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