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DR. JIMMY D. BELLAMY DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1003854118
Individual Registrant:DR. JIMMY D. BELLAMY DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
5 MEDICAL OFFICE WAY SWAINSBORO, GA 30401 US
Tel: 478-419-1225 Fax: --
Tel: 478-419-1225 Fax: --
Contact information for business:
PO BOX 1802 DALTON, GA 30722-1802 US
Tel: 912-996-2001 Fax: --
Tel: 912-996-2001 Fax: --
Registration Information:
NPI: 1003854118
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | GA | 8567 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 387552845A | GA | 05 |
