South Georgia Cosmetic & General Dentistry

NPI #1326130501 in Douglas, Georgia

Provider Information

NPI Number: 1326130501
Entity Type: Organization
Organization Name: South Georgia Cosmetic & General Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1108 MADISON AVE N
City: Douglas
State: Georgia
ZIP Code: 31533-2802
Phone: (912) 384-4432

Authorized Official

Name: DR. JAMES STEVE WILKERSON, DMD
Title: MEMBER
Phone: (912) 384-4432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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