Organization
CARTERSVILLE FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH R SLOCUM (OWNER/DENTIST)
(770) 387-0750
Entity
Organization
Contact information
Practice address
179 PINE GROVE RD, STE A, CARTERSVILLE, GA 30120-8489
(770) 387-0750
(770) 387-0797
Mailing address
179 PINE GROVE RD, STE A, CARTERSVILLE, GA 30120-8489
(770) 387-0750
(770) 387-0797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DN011289
GA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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