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Contact Information

BOBBY R CHILDREE DMD PC
175 SOUTH MAIN STREET
JASPER, GA30143
 Phone: 706-692-2646
 Fax: 706-253-3202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BOBBY R CHILDREE DMD PC · (Female)

NPI # 1235247644
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 8754
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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