Individual
JOE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 PHOENIX BLVD, ATLANTA, GA 30349-5588
(770) 991-0913
Mailing address
1901 PHOENIX BLVD, ATLANTA, GA 30349-5588
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10374
GA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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