Individual
DR. VAN BENJAMINE HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2151
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 30912-0001
(706) 721-2151
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4002
NC
122300000X
Dentist
4186
SC
122300000X
Dentist
Primary
DN008274
GA
Other
Enumeration date
05/27/2006
Last updated
10/22/2021
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