NPI 1003215948

Samuel Posey

Practitioner Dentist Locust Grove, GA

Practice location

Address: 782 Jackson St, Locust Grove, GA 30248-4125
Phone: (770) 288-8600
Fax: (770) 288-8601

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 14856 (GA)

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Registry record

NPI: 1003215948
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2014
Record last updated: 14 Jan 2015

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.