Individual
DR. HENRY GRADY GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 SHALLOWFORD RD NW, GAINESVILLE, GA 30504-4171
(770) 536-1170
Mailing address
224 SHALLOWFORD RD NW, GAINESVILLE, GA 30504-4171
(770) 536-1170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9932 GA
GA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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