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Individual

DR. CARLISLE HAMILTON VASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3193 HOWELL MILL RD NW STE 202, ATLANTA, GA 30327-2100
(404) 216-0647
Mailing address
2623 HENRY ST, AUGUSTA, GA 30904-4655
(404) 216-0647

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015923
GA

Other

Enumeration date
07/29/2019
Last updated
01/06/2021
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