Organization
ORAL & MAXILLOFACIAL SURGERY CENTER OF ATHENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN TOMLINSON DMD, MD (OWNER)
(706) 549-5033
Entity
Organization
Contact information
Practice address
600 OGLETHORPE AVE, SUITE 4, ATHENS, GA 30606-2263
(706) 549-5033
(706) 549-5059
Mailing address
600 OGLETHORPE AVE, SUITE 4, ATHENS, GA 30606-2263
(706) 549-5033
(706) 549-5059
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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