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PATRICIA WELLBORN HAMPTON DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1447395173

Individual Registrant:
 PATRICIA WELLBORN HAMPTON DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5490 MARTHA BERRY HWY NE  ARMUCHEE, GA 30105-2302 US
Tel: 706-292-0777  Fax: 706-292-9428

Contact information for business:
PO BOX 175  ARMUCHEE, GA 30105-0175 US
Tel: 706-292-0777  Fax: 706-292-9428

Registration Information:
NPI: 1447395173
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
GADN010255

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00326213BGA05




HEALTH CARE JOBS GA - Page 1



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