NPI 1114425964

Gofs Stockbridge

Organisation Oral & Maxillofacial Surgery (D.M.D.) Stockbridge, GA

Practice location

Address: 225 Country Club Dr #110, Stockbridge, GA 30281
Phone: (678) 905-9066
Fax: (678) 401-4725

Authorised official

Name: Giana Houston
Title: Cfo
Phone: (404) 384-1181

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN014207 (GA)

Other Oral & Maxillofacial Surgery providers in Georgia →

Registry record

NPI: 1114425964
Entity type: Organization
NPI issued: 26 Jan 2018
Record last updated: 26 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.