Individual
DR. ANDREW KICKLIGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3208 US HIGHWAY 41 N, BYRON, GA 31008-3721
(478) 953-7770
Mailing address
2122 BETHEL RD, SYCAMORE, GA 31790-2814
(229) 567-4295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015421
GA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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