Individual
DR. JAMES E DU BOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
416 E SPRING ST, MONROE, GA 30655-2350
(770) 267-6822
(770) 267-0928
Mailing address
416 E SPRING ST, MONROE, GA 30655-2350
(770) 267-6822
(770) 267-0928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051708A
—
GA
01
—
1316058159
GROUP NPI
GA
Enumeration date
03/27/2008
Last updated
03/27/2008
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