Organization
CHEROKEE ROSE MAMMOGRAPHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY H DENT MD (OWNER)
(800) 737-5610
Entity
Organization
Contact information
Practice address
121 FORTE AVE NW, MILLEDGEVILLE, GA 31061-8062
(800) 737-5610
Mailing address
121 FORTE AVE NW, MILLEDGEVILLE, GA 31061-8062
(800) 737-5610
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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