Bobby R Childree Dmd PC

NPI #1235247644 in Jasper, Georgia

Provider Information

NPI Number: 1235247644
Entity Type: Organization
Organization Name: Bobby R Childree Dmd PC
Primary Specialty: Dentist
Enumeration Date: Aug 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 175 SOUTH MAIN STREET
City: Jasper
State: Georgia
ZIP Code: 30143
Phone: (706) 692-2646

Authorized Official

Name: DR. BOBBY RAY CHILDREE, DMD
Title: PRESIDENT OF CORPORATION (PC)
Phone: (706) 692-2646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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