Kert D Jolley

NPI 1700095114 - Dentist - 122300000X

NPI Details
NPI 1700095114
Gender Male
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2819 HIGHWAY 34 E
NEWNAN GA, 30265-1331, US
Phone (770) 254-8787
Fax
Business Location
2819 HIGHWAY 34 E
NEWNAN GA, 30265-1331, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 11218
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According to our database, Kert D Jolley NPI is 1700095114, taxonomy code is 122300000X and license number is 11218, license state is located at Georgia. Kert D Jolley physically located at 2819 Highway 34 E, Newnan GA, 30265-1331. NPI Number Kert D Jolley has the Individual type.

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1700095114 NPI number is provided on an as is basis without warranty of any kind. 1700095114 is maintained by the National Plan & Provider Enumeration System. The contents of Kert D Jolley are for informational purposes only.