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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

NPI Number 1235247644
LBN Legal business name BOBBY R CHILDREE DMD PC
Authorized official BOBBY CHILDREE - (PRESIDENT OF CORPORATION (PC))
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 8754
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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