Organization
BLANCHARD, SWINSON, FOGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HOOD (MANAGER)
(770) 631-7001
Entity
Organization
Contact information
Practice address
98 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-1141
Mailing address
98 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-1141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AB6670283
GA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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