Organization
WEST GA ORAL SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P HINES (OWNER)
(706) 884-2655
Entity
Organization
Contact information
Practice address
1587 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-2655
Mailing address
1587 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-2655
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
8424
GA
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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