Individual
GREGORY R SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
112 HARMON LANE, SUITE A, KERNERSVILLE, NC 27284
(336) 993-3751
(336) 993-6601
Mailing address
112 HARMON LANE, SUITE A, KERNERSVILLE, NC 27284
(336) 993-3751
(336) 993-6601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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