Individual
KELLEY D BRUMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
404 GREEN ST NE, GAINESVILLE, GA 30501-3312
(770) 536-1229
(770) 536-8773
Mailing address
20 BAKER RD STE 6, NEWNAN, GA 30265-2134
(770) 251-8767
(770) 251-7059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO12661
GA
Other
Enumeration date
09/02/2006
Last updated
10/08/2019
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