Organization
SOUTHERN GEORGIA ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER MYERS DMD (OWNER)
(267) 975-0197
Entity
Organization
Contact information
Practice address
790 FRANK COCHRAN DR STE 102, HINESVILLE, GA 31313-3991
(267) 975-0197
Mailing address
790 FRANK COCHRAN DR STE 102, HINESVILLE, GA 31313-3991
(267) 975-0197
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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