Individual
DR. CORDARYL LEE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 MARKET SQUARE RD, NEWNAN, GA 30265-5613
(470) 837-5258
Mailing address
13072 BUCK RIDGE LN, UNION CITY, GA 30291-1181
(205) 496-2310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN124310
GA
1223G0001X
General Practice Dentistry
DN28351
FL
Other
Enumeration date
07/11/2023
Last updated
08/11/2026
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