Individual
DR. C. RONNIE BOZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
308 S DAWSON ST, THOMASVILLE, GA 31792-5509
(229) 228-4211
(229) 228-4153
Mailing address
PO BOX 2506, THOMASVILLE, GA 31799-2506
(229) 228-4211
(229) 228-4153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8751
GA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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