NPI 1417440405

Rebekah Graham Hancock, DMD

Practitioner General Practice Dentistry Locust Grove, GA

Practice location

Address: 4146 Highway 42, Locust Grove, GA 30248-4106
Phone: (229) 251-0541
Mailing address: 1582 Thornwick Trce, Stockbridge, GA 30281-9116

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN015671 (GA)

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Registry record

NPI: 1417440405
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2018
Record last updated: 13 Jun 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.