Individual
DR. BARBARA GRADY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
105 CARNEGIE PLACE, SUITE 109, FAYETTEVILLE, GA 30214
(770) 460-2120
(770) 460-2215
Mailing address
105 CARNEGIE PL, SUITE 109, FAYETTEVILLE, GA 30214-3980
(770) 460-2120
(770) 460-2215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011255
GA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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