Individual
DR. MICHAEL L RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22 JACKSON ST, NEWNAN, GA 30263-1910
(770) 254-1929
Mailing address
22 JACKSON ST, NEWNAN, GA 30263-1910
(770) 254-1929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10753
GA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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