Individual
BRIANNA CHAVIS LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2643 RANDLEMAN RD, GREENSBORO, NC 27406-5153
(336) 533-2758
Mailing address
106 LOGAN RILEY RD, THOMASVILLE, NC 27360-6395
(910) 827-2279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11852
NC
Other
Enumeration date
04/03/2020
Last updated
08/16/2021
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