Individual
DR. JEFFERSON LAMAR NEWBERN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1392
(229) 242-6202
(229) 245-0155
Mailing address
800 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1392
(229) 242-6202
(229) 245-0155
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
GA9459
GA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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